UNITED CEREBRAL PALSY ASSOC OF NYS INC NPI 1437335312

NPI Information

NPI: 1437335312
Provider Name: UNITED CEREBRAL PALSY ASSOC OF NYS INC

Other Name: HANDICAPPED CHILDRENS ASSN OF SOUTHERN NY

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
18 BROAD ST
JOHNSON CITY, NY
ZIP 13790
Phone: (607) 217-0066
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UNITED CEREBRAL PALSY ASSOC OF NYS INC is a multi-specialty clinic center in Johnson City, NY. UNITED CEREBRAL PALSY ASSOC OF NYS INC NPI is 1437335312. The provider is registered as an organization entity type.
The provider Other Name Is Handicapped Childrens Assn Of Southern Ny.

The provider's business location address is:

18 BROAD ST
JOHNSON CITY, NY
ZIP 13790-106
Phone: (607) 217-0066

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

The enumeration date for this NPI number is 1/10/2008 and was last updated on 1/31/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00947324	MEDICAID	NEW YORK
2	014	MEDICAID	NEW 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

NPI Synchronization or Removal

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