Individual
COLIN CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 N LYON ST, BATAVIA, NY 14020-1306
(585) 409-6630
Mailing address
8 N LYON ST, BATAVIA, NY 14020-1306
(585) 409-6630
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
009745-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009745-1
LICENSE #
NY
Enumeration date
05/11/2015
Last updated
05/11/2015
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