Individual
MS. MEGHAN ELIZABETH PEDUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
815 N BROADWAY, SARATOGA SPRINGS, NY 12866-1632
(518) 580-5390
Mailing address
40 BROADWAY UNIT 28, ALBANY, NY 12202-1020
(518) 727-0449
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001396
NY
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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