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Organization
THOMAS NICOLLA
Active
Organization
THOMAS NICOLLA
Active
Other names
Nicolla Physical Therapy of East Greenbush
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS NICOLLA (OWNER)
(518) 786-1667
Entity
Organization
Contact information
Practice address
749 COLUMBIA TPKE, EAST GREENBUSH, NY 12061-2612
(518) 479-2046
(518) 477-5410
Mailing address
749 COLUMBIA TPKE, EAST GREENBUSH, NY 12061-2612
(518) 479-2046
(518) 477-5410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000413955002
BSNENY
NY
Enumeration date
09/24/2007
Last updated
01/29/2009
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