National Provider Identifier Database

UPSTATE CEREBRAL PALSY INC WESTMORELAND ICF UPSTATE CEREBRAL PALSY INC
Intermediate Care Facility, Mentally Retarded

(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.


Contact Information

UPSTATE CEREBRAL PALSY, INC. WESTMORELAND ICF
LBN UPSTATE CEREBRAL PALSY, INC.
95 SEYMOUR LANE
WESTMORELAND, NY13490
Phone: 315-927-3480
Fax:
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for UPSTATE CEREBRAL PALSY, INC. WESTMORELAND ICF

NPI Number 1538666052
Legal business name
LBN
UPSTATE CEREBRAL PALSY, INC.
Doing business as
DBA
UPSTATE CEREBRAL PALSY, INC. WESTMORELAND ICF
Authorized official GENO DECONDO - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 04/11/2018
Last updated 04/05/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • License #: 62820440

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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