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Renee Small

NPI 1235473315 · on the registry since 2012 · sole proprietor

Practice

Address
1247 Tilden Ave
Utica, NY 13501
Phone
(315) 798-4040
Fax
(315) 733-3869
Organisation at this address
Upstate Cerebral Palsy, Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-11-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York