Organization
UPSTATE CEREBRAL PALSY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENO DECONDO (EXECUTIVE DIRECTOR)
(315) 927-2092
Entity
Organization
Contact information
Practice address
125 BUSINESS PARK DR, UTICA, NY 13502-6305
(315) 724-6907
(315) 733-0791
Mailing address
125 BUSINESS PARK DR, UTICA, NY 13502-6305
(315) 724-6907
(315) 733-0791
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
11/05/2008
Last updated
04/05/2023
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