Organization
UNITED CEREBRAL PALSY OF ULSTER COUNTY INC
Active
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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