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Organization

UNITED CEREBRAL PALSY OF ULSTER COUNTY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAMELA CARROAD (EXECUTIVE DIRECTOR)
(845) 336-7235
Entity
Organization

Contact information

Practice address
250 TUYTENBRIDGE RD, LAKE KATRINE, NY 12449-5429
(845) 336-7235
(845) 336-4726
Mailing address
PO BOX 1488, KINGSTON, NY 12402-1488
(845) 336-7235
(845) 336-4726

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00473001
NY
01
103427
WELLCARE
NY
01
114781
HUDSON HEALTH PLAN
NY
01
1205055076
EMPIRE BLUE CROSS BLUE SHIELD
NY
01
137045
MVP
NY
01
137380
UNITED HEALTHCARE
NY
Enumeration date
12/08/2006
Last updated
02/02/2010
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