Healthcare Provider Details

I. General information

NPI: 1730290156
Provider Name (Legal Business Name): HELEN M SARANDREA PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 03/29/2013
Certification Date:
Deactivation Date: 01/30/2008
Reactivation Date: 03/26/2008

III. Provider practice location address

8200 SENECA TPKE
CLINTON NY
13323-1027
US

IV. Provider business mailing address

8200 SENECA TPKE
CLINTON NY
13323-1027
US

V. Phone/Fax

Practice location:
  • Phone: 315-738-1671
  • Fax: 315-738-0942
Mailing address:
  • Phone: 315-738-1671
  • Fax: 315-738-0942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. HELEN M SARANDREA
Title or Position: OWNER
Credential: P.T.
Phone: 315-738-1671