Organization
UPSTATE CERBRAL PALSY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENO DECONDO (EXECUTIVE DIRECTOR)
(315) 724-6907
Entity
Organization
Contact information
Practice address
326 CATHERINE ST, UTICA, NY 13501-1209
(315) 797-4080
(315) 797-7249
Mailing address
326 CATHERINE ST, UTICA, NY 13501-1209
(315) 797-4080
(315) 797-7249
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
06/05/2012
Last updated
07/21/2022
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