Provider Demographics
NPI:1083848840
Name:CEREBRAL PALSY OF WESTCHESTER
Entity Type:Organization
Organization Name:CEREBRAL PALSY OF WESTCHESTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PODLOVITS
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:914-937-3800
Mailing Address - Street 1:1186 KING ST
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-1069
Mailing Address - Country:US
Mailing Address - Phone:914-937-3800
Mailing Address - Fax:914-253-5213
Practice Address - Street 1:1186 KING ST
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-1069
Practice Address - Country:US
Practice Address - Phone:914-937-3800
Practice Address - Fax:914-253-5213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7462440OtherOPERATING CERTIFICATE #