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UNITED CEREBRAL PALSY ASSOCIATION OF THE TRI-COUNTIES INC. NPI 1952402448


NPI Information

NPI: 1952402448
Provider Name: UNITED CEREBRAL PALSY ASSOCIATION OF THE TRI-COUNTIES, INC.

Doing Business As: PROSPECT CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
133 AVIATION RD
QUEENSBURY, NY
ZIP 12804
Phone: (518) 798-0170
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UNITED CEREBRAL PALSY ASSOCIATION OF THE TRI-COUNTIES, INC. is a clinic center in Queensbury, 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 ASSOCIATION OF THE TRI-COUNTIES, INC. NPI is 1952402448. The provider is registered as an organization entity type.
The provider Is Doing Business As Prospect Center.

The provider's business location address is:

133 AVIATION RD
QUEENSBURY, NY
ZIP 12804-206
Phone: (518) 798-0170
Fax: (518) 743-0227

The provider's authorized official is Kim L. Heunemann .
The authorized official title is Director Of Community & Interagency and has the following contact phone number (518) 798-0170.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 10/14/2014.


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/CenterYes

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
100752456MEDICAIDNEW 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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