Upstate Cerebral Palsy in Utica - Intermediate Care Facility, Intellectual Disabilities
Upstate Cerebral Palsy - NPI 1184785172
Upstate Cerebral Palsy is a Intermediate Care Facility, Intellectual Disabilities in Utica, New York. Upstate Cerebral Palsy practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Upstate Cerebral Palsy is 1184785172. The last update date is 2023-04-05.
Upstate Cerebral Palsy's current location address is 1235 Tilden Ave, Utica, New York. You can contact this provider via phone number 3157989577 and fax number 3157989789. The mailing address for Upstate Cerebral Palsy is 1235 Tilden Ave, Utica, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Upstate Cerebral Palsy |
|---|---|
| Address | 1235 Tilden Ave, Utica, New York |
| Phone Number | 3157989577 |
| Fax Number | 3157989789 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Decondo Geno |
| Telephone Number | 3157246907 |
NPI Number Detail
| NPI Number | 1184785172 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2023-04-05 |
Provider Mailing Address Detail
| Address | 1235 Tilden Ave |
|---|---|
| City | Utica |
| State | New York (NY) |
| Post Code | 135014150 |
| Phone Number | 3157989577 |
| Fax Number | 3157989789 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 2007629 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2007629 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Upstate Cerebral Palsy by the Centers for Medicare & Medicaid Services?
The Upstate Cerebral Palsy has been issued the NPI (National Provider Identifier) 1184785172 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Upstate Cerebral Palsy?
The Upstate Cerebral Palsy is physically situated at 1235 Tilden Ave, in the city of Utica, state of NY, with the postal code 135014150.
What is Upstate Cerebral Palsy's area of expertise and its corresponding taxonomy classification?
The Upstate Cerebral Palsy's field of specialization is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1184785172 to Upstate Cerebral Palsy?
The Upstate Cerebral Palsy received its 1184785172 assignment from the Centers for Medicare & Medicaid Services on 2006-12-13.
As of what date were the details pertaining to Upstate Cerebral Palsy last refreshed?
The information related to the Upstate Cerebral Palsy, including its address, specialty, and other relevant details, was last updated on 2023-04-05.
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