Organization
DEBRA Q. VIRTANEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA Q VIRTANEN MS,PT (OWNER)
(518) 272-3324
Entity
Organization
Contact information
Practice address
500 FEDERAL ST, SUITE 302, TROY, NY 12180-2832
(518) 272-3324
(518) 274-6904
Mailing address
500 FEDERAL ST, SUITE 302, TROY, NY 12180-2832
(518) 272-3324
(518) 274-6904
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
005954-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040402301
UNIVERA
NY
01
—
000405280001
BS
NY
05
—
01097176
—
NY
01
—
10002115
CDPHP
NY
01
—
43153
MVP
NY
01
—
5306322
AETNA
NY
01
—
Q56921
EMPIRE BC
NY
Enumeration date
07/19/2006
Last updated
04/10/2008
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