Upstatecerebral Palsy, Inc.

NPI #1881860633 in Barneveld, New York

Provider Information

NPI Number: 1881860633
Entity Type: Organization
Organization Name: Upstatecerebral Palsy, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 1, 2008
Last Updated: Oct 26, 2018

Practice Location

Address: 10708 N GAGE RD
City: Barneveld
State: New York
ZIP Code: 13304-2527
Phone: (315) 896-2654

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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