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Upstate Cerebral Palsy
Intellectual Disabilities Intermediate Care Facility in Utica, New York
NPI 1184785172

Upstate Cerebral Palsy is a Intellectual Disabilities Intermediate Care Facility based in Utica, NY. Upstate Cerebral Palsy practices in Utica, NY. The NPI Number for Upstate Cerebral Palsy is 1184785172 and holds a License No. 02007629 (New York).

The current practice location address for Upstate Cerebral Palsy is 1235 Tilden Ave, Utica, NY and can be reached out via phone at 315-798-9577 and via fax at 315-798-9789.

Location: 1235 Tilden Ave, Utica, NY, 13502-6305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184785172
Provider Name
Upstate Cerebral Palsy
Credential
Provider Entity Type
Organization
Address
1235 Tilden Ave, Utica, NY, 13502-6305
Phone Number
315-798-9577
Fax Number
315-798-9789
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02007629 05 NY
institution
Provider Business Practice Location Address Details
Address
1235 Tilden Ave
City
Utica
State
New York
Zip
13501-4150
Phone Number
315-798-9577
Fax Number
315-798-9789
person
Provider Business Mailing Address Details
Address
1235 Tilden Ave
City
Utica
State
New York
Zip
13501-4150
Phone Number
315-798-9577
Fax Number
315-798-9789
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
02007629 (New York)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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