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Individual

JOHN CONRAD SATRIANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
241 COLDBROOK RD, BEARSVILLE, NY 12409-5708
(845) 679-3819
Mailing address
241 COLDBROOK RD, BEARSVILLE, NY 12409-5708
(845) 679-3819

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
16204
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16204
PHYSICAL THERAPY
NY
Enumeration date
05/16/2007
Last updated
07/08/2007
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