Healthcare Provider Details

I. General information

NPI: 1790118883
Provider Name (Legal Business Name): ALLISON ANNE CECI PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON ANNE DALTON

II. Dates (important events)

Enumeration Date: 08/13/2013
Last Update Date: 06/01/2020
Certification Date: 06/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1270 BELMONT AVE
SCHENECTADY NY
12308-2104
US

IV. Provider business mailing address

PO BOX 14890
ALBANY NY
12212-4890
US

V. Phone/Fax

Practice location:
  • Phone: 518-382-4530
  • Fax:
Mailing address:
  • Phone:
  • Fax: 518-649-4094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number036638
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: