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General NPI Number Information
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NPI Number | 1770620114
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Entity Type | Organization
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Legal Business Name | UNITED CEREBRAL PALSY ASSOC OF NASSAU CTY
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 387 WASHINGTON AVE
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City | ROOSEVELT
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State | NY
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Zip | 11575-1849
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Country | US
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Telephone | 516-377-2067
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Fax | 516-377-2119
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Provider Business Mailing Address
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Address Line | 380 WASHINGTON AVENUE
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City | ROOSEVELT
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State | NY
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Zip | 11575-1899
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Country | US
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Telephone | 516-377-2067
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Fax | 516-377-2119
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Authorized Official
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Title or Position | DIRECTOR HCFS
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Name | MR. STEVEN H FRIEDMAN
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Credential |
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Telephone | 516-377-2067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 6091440
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License Number State | NY
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