MEDICARE: UNITED CEREBRAL PALSY ASSOC OF NYS

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
1	315P00000X	Intellectual Disabilities Intermediate Care Facility		NY

Other Identifiers

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

General Provider Information

NPI Number	:	1932322518
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED CEREBRAL PALSY ASSOC OF NYS

Provider Business Mailing Address
First Line	:	330 W 34TH ST # 15FL
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10001-2406
Country	:	US
Telephone Number	:	212-947-5770
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 SHARROTTS RD
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10309-1953
Country	:	US
Telephone Number	:	718-227-1704
Fax Number	:

Authorized Official
Title or Position	:	EXEC VICE PRES
Name	:	THOMAS MANDELKOW
Credential	:
Telephone Number	:	212-947-5770

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	09/21/2007

Similar Medicare Providers

1447092457 — ANNA SIMIONE LMHC
Practice Location Address:

65 SHARROTTS RD PH
STATEN ISLAND, NY
10309-1953

Practice Phone: 718-612-3078
Practice Fax:

1700736709 — KP RX LLC
Practice Location Address:

1300 HYLAN BLVD
STATEN ISLAND, NY
10305-1953

Practice Phone: 347-888-9448
Practice Fax:

1437009438 — KP RX LLC
Practice Location Address:

1300 HYLAN BLVD
STATEN ISLAND, NY
10305-1953

Practice Phone: 347-888-9448
Practice Fax:

1154572469 — MRS. DELSA JOHNSON FAUCONIER LCSW
Practice Location Address:

1953 RICHMOND TER
STATEN ISLAND, NY
10302-1201

Practice Phone: 718-614-3363
Practice Fax:

1366739641 — JERMAINE K HILL LMSW
Practice Location Address:

1953 RICHMOND TERRACE
STATEN ISLAND, NY
10303

Practice Phone: 347-668-4473
Practice Fax: 347-466-5467

1043554769 — AFF PSYCHOTHERAPY
Practice Location Address:

1953 RICHMOND TER
STATEN ISLAND, NY
10302-1201

Practice Phone: 347-320-6420
Practice Fax: 347-413-8836

Directions to “UNITED CEREBRAL PALSY ASSOC OF NYS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.