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NPI Code Detail

MEDICARE: MRS. CYNTHIA LYNN LEVEILLEE PT

MEDICARE: MRS. CYNTHIA LYNN LEVEILLEE PT
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 Therapist021642NY

General Provider Information

NPI Number : 1780748905
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CYNTHIA LYNN LEVEILLEE PT
Provider Business Mailing Address
First Line : 3 SOUTH AVE
Second Line :
City : ALPLAUS
State : NY
Zip : 12008-1019
Country : US
Telephone Number : 518-225-5434
Fax Number :
Provider Business Practice Location Address
First Line : 900 WATERVLIET SHAKER RD
Second Line :
City : ALBANY
State : NY
Zip : 12205-1002
Country : US
Telephone Number : 518-862-4900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 10/05/2018

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