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Individual

COLLEEN BACKUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
7 WELLS ST, SUITE 101, SARATOGA SPRINGS, NY 12866-1200
(518) 587-0637
(518) 587-2515
Mailing address
7 WELLS ST, SUITE 101, SARATOGA SPRINGS, NY 12866-1200
(518) 587-0637
(518) 587-2515

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006568
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000492521001
BLUE SHIELD OF NORTHEASTE
NY
01
10000074
CDPHP
NY
01
2289411
AETNA HMO
NY
01
43115
MVP HEALTH PLAN
NY
01
5683569
AETNA PPO
NY
01
Q55081
EMPIRE BLUE CROSS
NY
Enumeration date
04/11/2006
Last updated
07/09/2007
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