Organization
UPSTATE CEREBRAL 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
1002 OSWEGO ST, UTICA, NY 13502-5031
(315) 724-6907
(315) 733-0791
Mailing address
125 BUSINESS PARK DR, UTICA, NY 13502-6305
(315) 927-2127
(315) 733-0791
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/21/2021
Last updated
04/05/2023
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