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NPI 1154779965

NPI 1154779965 : KELBERMAN CENTER, INC : UTICA, NY

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General NPI Number Information
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    NPI Number           |    1154779965
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    Entity Type          |    Organization 
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    Legal Business Name  |    KELBERMAN CENTER, INC 
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Dates
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    Enumeration Date     |    06/02/2016
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    Last Update Date     |    08/18/2025
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Provider Practice Location Address
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    Address Line         |    430 COURT ST STE 140 
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    City                 |    UTICA
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    State                |    NY
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    Zip                  |    13502-4290
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    Country              |    US
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    Telephone            |    315-797-6241
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    Fax                  |    315-749-7054
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Provider Business Mailing Address
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    Address Line         |    2513 SUNSET AVE 
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    City                 |    UTICA
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    State                |    NY
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    Zip                  |    13502-5851
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    Country              |    US
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    Telephone            |    315-797-6241
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHIEF EXECUTIVE OFFICER
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    Name                 |     MARIA  CAPPOLETTI 
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    Credential           |    
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    Telephone            |    315-797-6241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    NY
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