{
"Npi": {
"NPI": "1437335312",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "UNITED CEREBRAL PALSY ASSOC OF NYS INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "330 W 34TH ST FL 15",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW YORK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10001-2406",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "212-947-5770",
"MailingAddressFaxNumber": "212-356-1348",
"FirstLinePracticeLocationAddress": "18 BROAD ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "JOHNSON CITY",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "13790-2106",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "607-217-0066",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/10/2008",
"LastUpdateDate": "01/31/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MANDELKOW",
"AuthorizedOfficialFirstName": "THOMAS",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "EXEC VP",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "212-947-5770",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QM1300X",
"TaxonomyName": "Multi-Specialty Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}