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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