Provider Demographics
NPI:1154779965
Name:KELBERMAN CENTER, INC
Entity type:Organization
Organization Name:KELBERMAN CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPPOLETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-797-6241
Mailing Address - Street 1:2513 SUNSET AVE
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-5851
Mailing Address - Country:US
Mailing Address - Phone:315-797-6241
Mailing Address - Fax:
Practice Address - Street 1:430 COURT ST STE 140
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-4290
Practice Address - Country:US
Practice Address - Phone:315-797-6241
Practice Address - Fax:315-749-7054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-02
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center