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Organization
UPSTATE CEREBRAL PALSY, INC.
Active
Organization
UPSTATE CEREBRAL PALSY, INC.
Active
Other names
United Cerebral Palsy
Organization subpart
No
Provider details
NPI number
Authorized official
GENO DECONDO (EXECUTIVE DIRECTOR)
(315) 724-6907
Entity
Organization
Contact information
Practice address
1020 MARY ST, UTICA, NY 13501-1930
(315) 724-6907
(315) 733-0791
Mailing address
1020 MARY ST, UTICA, NY 13501-1930
(315) 724-6907
(315) 733-0791
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
00474180
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474180
—
NY
Enumeration date
12/11/2006
Last updated
10/26/2018
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