Provider Demographics
NPI:1306050893
Name:UNITED CEREBAL PASLY
Entity type:Organization
Organization Name:UNITED CEREBAL PASLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICNURSE
Authorized Official - Prefix:
Authorized Official - First Name:ARIETA
Authorized Official - Middle Name:PAMELA
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-436-7600
Mailing Address - Street 1:525 E 38TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-5611
Mailing Address - Country:US
Mailing Address - Phone:718-856-6514
Mailing Address - Fax:
Practice Address - Street 1:525 E 38TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-5611
Practice Address - Country:US
Practice Address - Phone:718-856-6514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY239996261QD1600X, 261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Not Answered261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service