Upstate Cerebral Palsy, INC

NPI #1780636506 in Utica, New York

Provider Information

NPI Number: 1780636506
Entity Type: Organization
Organization Name: Upstate Cerebral Palsy, INC
Primary Specialty: Counselor - Mental Health
Enumeration Date: May 17, 2006
Last Updated: Apr 5, 2023

Practice Location

Address: 1002 OSWEGO ST
City: Utica
State: New York
ZIP Code: 13502-5031
Phone: (315) 798-8868

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Developmental Disabilities — Developmental Disabilities	261QD1600X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Intermediate Care Facility, Intellectual Disabilities	315P00000X
Family Medicine	207Q00000X
Podiatrist	213E00000X
Clinic/Center	261Q00000X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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