Upstate Cerebral Palsy, INC

NPI #1316008311 in Rome, New York

Provider Information

NPI Number
1316008311
Entity Type
Organization
Organization Name
Upstate Cerebral Palsy, INC
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Dec 13, 2006
Last Updated
Apr 5, 2023

Practice Location

Address
124 BROOKLEY ROAD
Address 2
CRP #7
City
Rome
ZIP Code
13441
Phone
(315) 533-1166

Authorized Official

Name
GENO DECONDO
Title
EXECUTIVE DIRECTOR
Phone
(315) 724-6907

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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State of New York

Part of State of New York

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