Upstate Cerebral Palsy, Inc.

NPI #1578623617 in Utica, New York

Provider Information

NPI Number: 1578623617
Entity Type: Organization
Organization Name: Upstate Cerebral Palsy, Inc.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Dec 11, 2006
Last Updated: Oct 26, 2018

Practice Location

Address: 1020 MARY ST
City: Utica
State: New York
ZIP Code: 13501-1930
Phone: (315) 724-6907

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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