Provider Demographics
NPI:1487863601
Name:UNITED CEREBRAL PALSY OF NEW YORK CITY, INC.
Entity Type:Organization
Organization Name:UNITED CEREBRAL PALSY OF NEW YORK CITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-683-6700
Mailing Address - Street 1:80 MAIDEN LN
Mailing Address - Street 2:8TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-4811
Mailing Address - Country:US
Mailing Address - Phone:212-683-6700
Mailing Address - Fax:212-683-7550
Practice Address - Street 1:10 WATERSIDE PLZ
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-2602
Practice Address - Country:US
Practice Address - Phone:212-683-6700
Practice Address - Fax:212-430-6024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6124525315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00776132Medicaid
NY336504Medicare ID - Type UnspecifiedAGENCY MEDICARE NUMBER