Organization · Type 2 NPI
Upstate Cerebral Palsy
Intellectual Disabilities Intermediate Care Facility · Marcy, NY
NPI number
1376604371
Active
Practice location
9592 Hayes Rd
Marcy, NY 13403-2606
Fax (315) 768-1067
Mailing address
125 Business Park Dr
Utica, NY 13502-6305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 01332796 (NY) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1376604371
Upstate Cerebral Palsy's National Provider Identifier is 1376604371, issued on Dec 13, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Marcy, NY. The record was last updated on Apr 5, 2023.