Upstate Cerebral Palsy, Inc in Utica - Intermediate Care Facility, Intellectual Disabilities
Upstate Cerebral Palsy, Inc - NPI 1609937697
Upstate Cerebral Palsy, Inc is a Intermediate Care Facility, Intellectual Disabilities in Utica, New York. Upstate Cerebral Palsy, Inc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Upstate Cerebral Palsy, Inc is 1609937697. The last update date is 2023-04-05.
Upstate Cerebral Palsy, Inc's current location address is 125 Business Park Dr, Utica, New York. You can contact this provider via phone number 3157246907. The mailing address for Upstate Cerebral Palsy, Inc is 125 Business Park Dr, Utica, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Upstate Cerebral Palsy, Inc |
|---|---|
| Address | 125 Business Park Dr, Utica, New York |
| Phone Number | 3157246907 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Decondo Geno |
| Telephone Number | 3159272092 |
NPI Number Detail
| NPI Number | 1609937697 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2023-04-05 |
Provider Mailing Address Detail
| Address | 125 Business Park Dr |
|---|---|
| City | Utica |
| State | New York (NY) |
| Post Code | 135026305 |
| Phone Number | 3157246907 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 2683329 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2683329 | NY | -- |
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What is the unique provider identifier assigned to Upstate Cerebral Palsy, Inc?
The Upstate Cerebral Palsy, Inc has been issued the NPI (National Provider Identifier) 1609937697 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Upstate Cerebral Palsy, Inc?
The Upstate Cerebral Palsy, Inc is situated at 125 Business Park Dr, in the city of Utica, state of NY, with the zip code 135026305.
What is Upstate Cerebral Palsy, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Upstate Cerebral Palsy, Inc's specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
When was the Upstate Cerebral Palsy, Inc's 1609937697 issued?
The Upstate Cerebral Palsy, Inc's 1609937697 was issued on 2006-12-13.
As of what date were the details related to Upstate Cerebral Palsy, Inc most recently updated or revised?
The information pertaining to Upstate Cerebral Palsy, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2023-04-05.