Individual
MR. JOHN W CEILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYS THER ASST.
Contact information
Practice address
800 S WILBUR AVE, SYRACUSE, NY 13204-2732
(315) 452-0392
(315) 452-1264
Mailing address
419 BROOKLEA DR, FAYETTEVILLE, NY 13066-1403
(315) 637-3492
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001578-1
NY
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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