Northern New York Cerebral Palsy Assoc.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

NORTHERN NEW YORK CEREBRAL PALSY ASSOC.

Practice address

714 Washington St
Watertown, NY 13601-4032

Phone

(315) 788-5650

Fax

(315) 788-9186

NPI assigned

Nov 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Teri Stuckey

Title

Executive Director

Phone

(315) 788-5650

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265504831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014032",
            "telephone_number": "315-788-5650",
            "fax_number": "315-788-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014032",
            "telephone_number": "315-788-5650",
            "fax_number": "315-788-9186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEW YORK CEREBRAL PALSY ASSOC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STUCKEY",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "315-788-5650",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Country Physical Therapy
• North Country Physicians, PLLC
• North Country Transitional Living Services, Inc
• Northen Lights Chiropractic (Larry V Silverstein)
• Northern Lights Chiropractic
• Northern New York Cerebral Palsy Association
• Northern New York Gastroenterology
• Northern New York Obs LLC
• Northern Nurse Practitioners - Family Health PLLC
• Northern Ny Infus (Optioncare)

• Orthopaedic Surgery Physician in Watertown, NY
• Providers in Watertown, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.