Organization
ADVANCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN RIVIZZIGUO PT (OWNER)
(315) 672-5063
Entity
Organization
Contact information
Practice address
4050 MILTON AVE, CAMILLUS, NY 13031
(315) 672-5063
(315) 672-5461
Mailing address
421 SWANSEA AVE, SYRACUSE, NY 13206
(315) 672-5063
(315) 672-5461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010694
NY
Other
Enumeration date
03/09/2007
Last updated
06/16/2008
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