Thomas Nicolla

NPI #1154500387 in Albany, New York

Provider Information

NPI Number: 1154500387
Entity Type: Organization
Organization Name: Thomas Nicolla
Primary Specialty: Physical Therapist
Enumeration Date: Oct 24, 2007
Last Updated: May 2, 2008

Practice Location

Address: 400 PATROON CREEK BLVD
Address 2: SUITE 107
City: Albany
State: New York
ZIP Code: 12206-5013
Phone: (518) 935-2314

Authorized Official

Name: THOMAS NICOLLA
Title: OWNER
Phone: (518) 786-1667

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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