United Cerebral Polsy

NPI 1023212818 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1023212818
Enumeration Date 06/13/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name ELIZABETH ELIZABETH
Position PTA
Phone (718) 645-6454
Fax
Practice Location
121 LAKE ST
BROOKLYN NY, 11223-2734, US
Phone (718) 645-6454
Fax
Business Location
307 MARTENSE ST APT C7
BROOKLYN NY, 11226-4225, US
Phone (718) 484-3678
Fax
Toxanomy
Taxonomy Code 315P00000X
License State New York
License Number 0028151
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According to our database, United Cerebral Polsy NPI is 1023212818, taxonomy code is 315P00000X and license number is 0028151, license state is located at New York. United Cerebral Polsy physically located at 121 Lake St, Brooklyn NY, 11223-2734. NPI Number 1033115704 has the healthcare provider type.

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1023212818 NPI number is provided on an as is basis without warranty of any kind. 1023212818 is maintained by the National Plan & Provider Enumeration System. The contents of United Cerebral Polsy are for informational purposes only.