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Upstate Cerebral Palsy, INC

NPI #1790846780 in Utica, New York

Provider Information

NPI Number
1790846780
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
1237 TILDEN AVE
Address 2
DIMEO RESIDENCE
City
Utica
State
New York
ZIP Code
13501-4150
Phone
(315) 798-9275

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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