Upstate Cerebral Palsy, Inc

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Rome, NY

NPI 1609937697 · NPPES record last updated Apr 5, 2023

Key facts

NPI
1609937697
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
License
02683329 (NY)
Legal business name
UPSTATE CEREBRAL PALSY, INC
Practice address
126 Brookley Road
Rome, NY 13441-0000
Phone
(315) 533-1150
NPI assigned
Dec 13, 2006
Organization subpart
No

Authorized official

Name
Geno Decondo
Title
Executive Director
Phone
(315) 927-2092

Corporate family (same tax ID) 28

Organizations that report the same tax identification number in the National Provider Directory.

View all 28

National Provider Directory

Tax ID family
Upstate Cerebral Palsy Inc (29 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 02683329 NY Yes

Addresses

Primary practice location

126 Brookley Road
Rome, NY 13441-0000

Mailing address

125 Business Park Dr
Utica, NY 13502-6305
Phone (315) 724-6907

Other identifiers

IdentifierTypeStateIssuer
02683329MedicaidNY

Other providers in Rome, NY

All providers in Rome, NY · Intellectual Disabilities Intermediate Care Facility in New York

Sources for this page

Verify at the official NPI Registry.