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NPI Code Detail

MEDICARE: ROBERT DAIELLO P.T.

MEDICARE: ROBERT DAIELLO P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist023420NY

General Provider Information

NPI Number : 1225025687
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT DAIELLO P.T.
Provider Business Mailing Address
First Line : 25 ULSTER AVE
Second Line :
City : SAUGERTIES
State : NY
Zip : 12477-1212
Country : US
Telephone Number : 845-246-3642
Fax Number : 845-246-1612
Provider Business Practice Location Address
First Line : 25 ULSTER AVE
Second Line :
City : SAUGERTIES
State : NY
Zip : 12477-1212
Country : US
Telephone Number : 845-246-3642
Fax Number : 845-246-1612
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2005
Last Update Date : 09/08/2009

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