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
138 W GERMAN ST, HERKIMER, NY 13350-1101
(315) 724-6907
(315) 733-0791
Mailing address
125 BUSINESS PARK DR, UTICA, NY 13502-6305
(315) 724-6907
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
6282433
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01303855
—
NY
Enumeration date
08/14/2008
Last updated
04/05/2023
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