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Contact Information

LISA PICCOLO, PHYSICAL THERAPIST
319 BROADWAY
ULSTER BOCES ALTERNATIVE EDUCATION
PORT EWEN, NY12466
 Phone: 845-339-8707
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LISA PICCOLO · (Female)

NPI # 1194092171
Status Active
Credentials PHYSICAL THERAPIST
Entity Individual
Enumeration date 11/19/2011
Last updated 07/10/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 015113-1
Hospital affiliation(s) Not Available
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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