| |
9643 Pinnacle Rd, Sauquoit, NY 13456-3041 | |
(315) 737-7300 | |
(315) 735-7301 |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 9643 Pinnacle Rd, Sauquoit, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710068465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 022639 (New York) | Primary |
Provider Name | Chad J Cardillo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1831110683 PECOS PAC ID: 1052364064 Enrollment ID: I20050301000859 |
Mailing Address | Practice Location Address |
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Po Box 465, Sauquoit, NY 13456-0465 Ph: (315) 736-2080 | 9643 Pinnacle Rd, Sauquoit, NY 13456-3041 Ph: (315) 737-7300 |
Mr. Chad Joseph Cardillo, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9643 Pinnacle Rd, Sauquoit, NY 13456 Phone: 315-737-7300 Fax: 315-737-7301 |