Provider Demographics
NPI:1699087767
Name:UNITED CEREBRAL PALSY OF HUDSON CNTY INC.
Entity type:Organization
Organization Name:UNITED CEREBRAL PALSY OF HUDSON CNTY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:STARITA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-436-2200
Mailing Address - Street 1:721 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-4786
Mailing Address - Country:US
Mailing Address - Phone:201-436-2200
Mailing Address - Fax:201-436-6642
Practice Address - Street 1:721 BROADWAY
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-4786
Practice Address - Country:US
Practice Address - Phone:201-436-2200
Practice Address - Fax:201-436-6642
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-06
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management