Provider Demographics
NPI:1639453103
Name:CEREBRAL PALSY OF WESTCHESTER SCHOOL PROGRAM
Entity Type:Organization
Organization Name:CEREBRAL PALSY OF WESTCHESTER SCHOOL PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUCK
Authorized Official - Suffix:
Authorized Official - Credentials:
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY661905997804251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)