Individual
ELISABETH BIALCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
85 COLLEGE ST, HAMILTON, NY 13346-1227
(315) 824-1250
(315) 824-3010
Mailing address
85 COLLEGE ST, HAMILTON, NY 13346-1227
(315) 824-1250
(315) 824-3010
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P02723
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P02723
NYS PERMIT
NY
Enumeration date
07/15/2016
Last updated
07/15/2016
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