Organization
UPSTATE CERBRAL PALSY, INC
Active
Parent organization
UPSTATE CERBRAL PALSY, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
UPSTATE CERBRAL PALSY, INC
Authorized official
AMY DISTEFANO (VP OF REVENUE CYCLE)
(315) 927-2127
Entity
Organization
Contact information
Practice address
1002 OSWEGO ST STE 2, UTICA, NY 13502-5031
(315) 520-7802
Mailing address
125 BUSINESS PARK DR, UTICA, NY 13502-6305
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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