Organization
UPSTATE CEREBRAL PALSY, INC.
Active
Other names
United Cerebral Palsy
Organization subpart
No
Provider details
NPI number
Authorized official
GENO DECONDO (EXECUTIVE DIRECTOR)
(315) 724-6907
Entity
Organization
Contact information
Practice address
1020 MARY ST, UTICA, NY 13501-1930
(315) 724-6907
(315) 733-0791
Mailing address
1020 MARY ST, UTICA, NY 13501-1930
(315) 724-6907
(315) 733-0791
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
00474180
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474180
—
NY
Enumeration date
12/11/2006
Last updated
10/26/2018
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