Individual
COLEEN R RICCIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
WEST WAYNE PLAZA 1900 ROUTE 31, MACEDON, NY 14502
(315) 986-4655
(315) 986-5901
Mailing address
WEST WAYNE PLAZA 1900 ROUTE 31, MACEDON, NY 14502
(315) 986-4655
(315) 986-5901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
024270
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008672
WORKERS COMP
NY
05
—
01684335
—
NY
Enumeration date
01/02/2007
Last updated
07/08/2007
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