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General NPI Number Information
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NPI Number | 1396131546
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Entity Type | Organization
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Legal Business Name | UNITED CEREBRAL PALSY ASSOCIATIONS OF NYS
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Dates
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Enumeration Date | 04/14/2015
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Last Update Date | 04/14/2015
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Provider Practice Location Address
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Address Line | 315 HUDSON ST
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City | NEW YORK
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State | NY
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Zip | 10013-1009
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Country | US
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Telephone | 212-947-5770
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Fax | 212-356-1348
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Provider Business Mailing Address
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Address Line | 330 W 34TH ST FL 15
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City | NEW YORK
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State | NY
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Zip | 10001-2406
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Country | US
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Telephone | 212-947-5770
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Fax | 212-356-1348
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Authorized Official
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Title or Position | PRESIDENT-CEO
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Name | SUSAN CONSTANTINO
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Credential |
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Telephone | 212-947-5770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | NY
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