Organization
UPSTATE CEREBRAL PALSY, INC.
Active
Organization
UPSTATE CEREBRAL PALSY, INC.
Active
Other names
Upstate Cerebral Palsy
Organization subpart
No
Provider details
NPI number
Authorized official
GENO DECON DO (EXECUTIVE DIRECTOR)
(315) 724-6907
Entity
Organization
Contact information
Practice address
336 E STATE ST, HERKIMER, NY 13350-2026
(315) 866-2839
Mailing address
125 BUSINESS PARK DR, UTICA, NY 13502-6305
(315) 724-6907
(315) 733-0791
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02146303
—
NY
Enumeration date
06/24/2011
Last updated
04/05/2023
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