| Cerebral Palsy Assns.of Nys | |
|
979 Cross Bronx Expressway Service Road North Metro Community Health Center Bronx NY 10460-4885 | |
| (718) 665-7565 | |
| (718) 665-7595 |
| Full Name | Cerebral Palsy Assns.of Nys |
|---|---|
| Speciality | Clinic/center |
| Location | 979 Cross Bronx Expressway Service Road North, Bronx, New York |
| Authorized Official Name and Position | Thomas Mandelkow (EXEC VP) |
| Authorized Official Contact | 2129475770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cerebral Palsy Assns.of Nys 40 Rector St Fl 15 New York NY 10006-1722 Ph: (212) 947-5770 | Cerebral Palsy Assns.of Nys 979 Cross Bronx Expressway Service Road North Metro Community Health Center Bronx NY 10460-4885 Ph: (718) 665-7565 |
| NPI Number | 1366507758 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 08/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366507758 | NPI | - | NPPES |
| 03006273 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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