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UNITED CEREBRAL PALSY ASSOC OF NYS INC NPI 1376600551


NPI Information

NPI: 1376600551
Provider Name: UNITED CEREBRAL PALSY ASSOC OF NYS INC

Doing Business As: CEREBRAL PALSY OF NYS

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
KOICHEFF HEALTH CARE CENTER
2324 FOREST AVE
STATEN ISLAND, NY
ZIP 10303
Phone: (718) 447-0200
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UNITED CEREBRAL PALSY ASSOC OF NYS INC is a clinic center in Staten Island, NY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). UNITED CEREBRAL PALSY ASSOC OF NYS INC NPI is 1376600551. The provider is registered as an organization entity type.
The provider Is Doing Business As Cerebral Palsy Of Nys.

The provider's business location address is:

KOICHEFF HEALTH CARE CENTER
2324 FOREST AVE
STATEN ISLAND, NY
ZIP 10303
Phone: (718) 447-0200
Fax: (718) 981-1431

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

The enumeration date for this NPI number is 1/3/2007 and was last updated on 8/14/2020.


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
1261Q00000XClinic/CenterNEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103006282MEDICAIDNEW YORK

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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