Organization
UPSTATECEREBRAL 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
10708 N GAGE RD, BARNEVELD, NY 13304-2527
(315) 896-2654
(315) 896-2864
Mailing address
1020 MARY ST, UTICA, NY 13501-1930
(315) 724-6907
(315) 733-0791
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
6282300
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00807983
—
NY
Enumeration date
05/01/2008
Last updated
10/26/2018
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