Organization
NORTHERN NEW YORK CEREBRAL PALSY ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERI STUCKEY (EXECUTIVE DIRECTOR)
(315) 788-5650
Entity
Organization
Contact information
Practice address
714 WASHINGTON ST, WATERTOWN, NY 13601-4032
(315) 788-5650
(315) 788-9186
Mailing address
714 WASHINGTON ST, WATERTOWN, NY 13601-4032
(315) 788-5650
(315) 788-9186
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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