Individual
MICHAEL DEVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
411 STATE ROUTE 17M, MONROE, NY 10950-4123
(845) 507-0477
Mailing address
4013 THOMAS PAINE WAY, NEW WINDSOR, NY 12553-5020
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007908-1
NY
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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