Organization
UNITED CEREBRAL PALSY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIREILLE CARMITE LATORTUE R.N. (R.N.)
15164897925
Entity
Organization
Contact information
Practice address
175 LAWRENCE AVE, BROOKLYN, NY 11230-1102
(718) 436-7600
Mailing address
631 JENNINGS AVE, WEST HEMPSTEAD, NY 11552-3707
(917) 930-4278
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
450541-1
NY
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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