Organization
UNITED CEREBRAL PALSY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PORTIA LIPAT FNP-BC (FAMILY NURSE PRACTITIONER)
(718) 644-4992
Entity
Organization
Contact information
Practice address
122 E 23RD ST, NEW YORK, NY 10010-4516
(212) 677-7400
Mailing address
231 VANDERBILT AVE, STATEN ISLAND, NY 10304-2524
(171) 864-4992
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
F335821-1
NY
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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