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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 Specialty Code Provider Type

Intermediate Care Facility, Mentally Retarded

315P00000X
Indicates primary specialty

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

NPI # 1538666052
LBN Legal business name UPSTATE CEREBRAL PALSY, INC.
DBA Doing business as UPSTATE CEREBRAL PALSY, INC. WESTMORELAND ICF
Authorized official GENO DECONDO - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/11/2018
Last updated 04/05/2023 - About 3 years ago
Identifiers
License # 62820440
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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