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Contact Information

ADVANCE PHYSICAL THERAPY
4050 MILTON AVE
CAMILLUS, NY13031
 Phone: 315-672-5063
 Fax: 315-672-5461
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ADVANCE PHYSICAL THERAPY

NPI Number 1528199452
LBN Legal business name ADVANCE PHYSICAL THERAPY
Authorized official STEVEN RIVIZZIGUO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/09/2007
Last updated 06/16/2008 - About 18 years ago
Identifiers
NY License # 010694
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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