| Cerebral Palsy Of Nys | |
|
Queens Health Care Center 51-40 59th Street Woodside NY 11377 | |
| (718) 639-2931 | |
| Not Available |
| Full Name | Cerebral Palsy Of Nys |
|---|---|
| Speciality | Clinic/center |
| Location | Queens Health Care Center, Woodside, 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 Of Nys 330 W 34th St Fl 15 New York NY 10001-2406 Ph: (212) 947-5770 | Cerebral Palsy Of Nys Queens Health Care Center 51-40 59th Street Woodside NY 11377 Ph: (718) 639-2931 |
| NPI Number | 1255496642 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 01/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255496642 | NPI | - | NPPES |
| 00947324 | Medicaid | NY | |
| 008 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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