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Organization
RICCARDI & BURTON PHYSICAL THERAPY P.C.
Active
Organization
RICCARDI & BURTON PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA M ANNAL (OFFICE MANAGER)
(315) 342-2738
Entity
Organization
Contact information
Practice address
6093 HOLCOMB HILL RD, LA FAYETTE, NY 13084-9511
(315) 677-9082
Mailing address
6093 HOLCOMB HILL RD, LA FAYETTE, NY 13084-9511
(315) 677-9082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BPPR108
BCBS
NY
Enumeration date
01/10/2007
Last updated
04/20/2008
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