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NPI Code Detail

MEDICARE: UNITED CEREBRAL PALSY OF NEW YORK CITY INC

MEDICARE: UNITED CEREBRAL PALSY OF NEW YORK CITY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1315P00000XIntellectual Disabilities Intermediate Care Facility6124525NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235343401
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED CEREBRAL PALSY OF NEW YORK CITY INC
Provider Business Mailing Address
First Line : 80 MAIDEN LN
Second Line :
City : NEW YORK
State : NY
Zip : 10038-4811
Country : US
Telephone Number : 212-683-6700
Fax Number : 212-683-7550
Provider Business Practice Location Address
First Line : 121 LAKE ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-2734
Country : US
Telephone Number : 212-683-6700
Fax Number : 212-430-6024
Authorized Official
Title or Position : ASSOCIATE EXECUTIVE DIRECTOR
Name : MR. JAMES HOOD
Credential :
Telephone Number : 212-683-6700
Provider Enumeration Date : 05/09/2007
Last Update Date : 08/22/2020

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Directions to “UNITED CEREBRAL PALSY OF NEW YORK CITY INC ” Practice Location

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