Anthony Derrico SR.

NPI #1609270669 in Cohoes, New York

Provider Information

NPI Number: 1609270669
Entity Type: Individual
Name: Anthony Derrico SR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Oct 20, 2014
Last Updated: Oct 20, 2014

Practice Location

Address: 20 SUMMIT STREET
City: Cohoes
State: New York
ZIP Code: 12047
Phone: (518) 486-9024

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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