National Provider Identifier Database

UNITED CEREBRAL PALSY ASSOC OF NYS
Intermediate Care Facility, Mentally Retarded

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.


Contact Information

UNITED CEREBRAL PALSY ASSOC OF NYS
110-35 164TH PLACE
JAMAICA, NY11433
Phone: 718-658-3307
Fax:
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for UNITED CEREBRAL PALSY ASSOC OF NYS

NPI Number 1639292774
Legal business name
LBN
UNITED CEREBRAL PALSY ASSOC OF NYS
Authorized official THOMAS MANDELKOW - (EXEC VICE PRES)
Entity Organization
Organization subpart No
Enumeration date 04/06/2007
Last updated 09/21/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • NY Medicaid: 01750494

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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