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Individual

DORINDA L. CAMPANO

Active
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Individual

DORINDA L. CAMPANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005060-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10002175/6973
CDPHP
NY
01
43932/10425
MVP
NY
01
492055
BLUE SHIELD
NY
01
QA3571
BLUE CROSS
NY
Enumeration date
06/16/2006
Last updated
07/08/2007
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