Organization
NORTHERN NEW YORK CEREBRAL PALSY ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA L BRABANT (EXECUTIVE DIRECTOR)
(315) 788-5650
Entity
Organization
Contact information
Practice address
714 WASHINGTON ST, WATERTOWN, NY 13601-4032
(315) 788-5650
(315) 788-9186
Mailing address
714 WASHINGTON ST, WATERTOWN, NY 13601-4032
(315) 788-5650
(315) 788-9186
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01026273
—
NY
Enumeration date
01/30/2007
Last updated
04/24/2015
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