Individual
DR. CONNOR GEORGE PASSALACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
130 LOMOND CT STE 1, UTICA, NY 13502-5951
(315) 724-4286
Mailing address
8720 AITKEN AVE, WHITESBORO, NY 13492-2606
(315) 507-0762
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NY
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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