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Organization
DAVID A MCCUNE
Active
Organization
DAVID A MCCUNE
Active
Other names
Dryden Sport & Spine Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY J YAEGER (BUSINESS MANAGER)
(607) 844-5653
Entity
Organization
Contact information
Practice address
15 ELLIS DR, DRYDEN, NY 13053-9630
(607) 844-5653
(607) 844-8361
Mailing address
15 ELLIS DR, DRYDEN, NY 13053-9630
(607) 844-5653
(607) 844-8361
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02769753
—
NY
Enumeration date
04/06/2007
Last updated
08/22/2020
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