Upstate Cerebral Palsy

NPI 1124345889 - Early Intervention Provider Agency - 252Y00000X

NPI Details
NPI 1124345889
Enumeration Date 04/21/2010
Last Updated 04/21/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LOUIS LOUIS
Position EXECUTIVE DIRECTOR
Phone (315) 724-6907
Fax (315) 797-7249
Practice Location
1020 MARY ST
UTICA NY, 13501-1930, US
Phone (315) 724-6907
Fax (315) 797-7249
Business Location
1020 MARY ST
UTICA NY, 13501-1930, US
Phone (315) 724-6907
Fax (315) 797-7249
Toxanomy
Taxonomy Code 252Y00000X
License State New York
License Number 011840-1
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According to our database, Upstate Cerebral Palsy NPI is 1124345889, taxonomy code is 252Y00000X and license number is 011840-1, license state is located at New York. Upstate Cerebral Palsy physically located at 1020 Mary St, Utica NY, 13501-1930. NPI Number 1033115704 has the healthcare provider type.

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1124345889 NPI number is provided on an as is basis without warranty of any kind. 1124345889 is maintained by the National Plan & Provider Enumeration System. The contents of Upstate Cerebral Palsy are for informational purposes only.