Organization
RYAN MONACO PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN MIKEL DEBIASE MONACO PT, DPT, ATC (PRESIDENT)
(315) 292-4032
Entity
Organization
Contact information
Practice address
2413 STATE ROUTE 5, UTICA, NY 13502-7717
(315) 732-0949
(315) 732-0960
Mailing address
31 SHERRILL LN, NEW HARTFORD, NY 13413-2834
(315) 732-0949
(315) 732-0960
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
34595
NY
Other
Enumeration date
02/01/2016
Last updated
07/18/2016
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