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UNITED CEREBRAL PALSY ASSOC OF NYS INC. NPI 1235685686


NPI Information

NPI: 1235685686
Provider Name: UNITED CEREBRAL PALSY ASSOC OF NYS INC.

Doing Business As: CEREBRAL PALSY ASSOC OF NYS

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
21820 104TH AVE
QUEENS VILLAGE, NY
ZIP 11429
Phone: (718) 776-4190
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UNITED CEREBRAL PALSY ASSOC OF NYS INC. is an intermediate care facility mentally retarded in Queens Village, NY. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. UNITED CEREBRAL PALSY ASSOC OF NYS INC. NPI is 1235685686. The provider is registered as an organization entity type.
The provider Is Doing Business As Cerebral Palsy Assoc Of Nys.

The provider's business location address is:

21820 104TH AVE
QUEENS VILLAGE, NY
ZIP 11429-051
Phone: (718) 776-4190
Fax: (718) 464-4849

The provider's authorized official is Thomas Mandelkow .
The authorized official title is Chief Financial Officer and has the following contact phone number (212) 947-5770.

The enumeration date for this NPI number is 8/26/2016 and was last updated on 8/26/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310500000XIntermediate Care Facility, Mental IllnessNo
2313M00000XNursing Facility/Intermediate Care FacilityNo
3315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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