Organization
UPSTATE CEREBRAL PALSY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENO DECONDO (EXECUTIVE DIRECTOR)
(315) 927-2092
Entity
Organization
Contact information
Practice address
9592 HAYES RD, MARCY, NY 13403-2606
(315) 768-1007
(315) 768-1067
Mailing address
125 BUSINESS PARK DR, UTICA, NY 13502-6305
(315) 724-6907
(315) 733-0791
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
01332796
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01332796
—
NY
Enumeration date
12/13/2006
Last updated
04/05/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us