Basic Information
| Provider Information | |||||||||
| NPI: | 1730290156 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HELEN M SARANDREA PHYSICAL THERAPY PLLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8200 SENECA TPKE | ||||||||
| Address2: | |||||||||
| City: | CLINTON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 133231027 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3157381671 | ||||||||
| FaxNumber: | 3157380942 | ||||||||
| Practice Location | |||||||||
| Address1: | 8200 SENECA TPKE | ||||||||
| Address2: | |||||||||
| City: | CLINTON | ||||||||
| State: | NY | ||||||||
| PostalCode: | 133231027 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3157381671 | ||||||||
| FaxNumber: | 3157380942 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2006 | ||||||||
| LastUpdateDate: | 03/29/2013 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | 01/30/2008 | ||||||||
| NPIReactivationDate: | 03/26/2008 | ||||||||
| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | SARANDREA | ||||||||
| AuthorizedOfficialFirstName: | HELEN | ||||||||
| AuthorizedOfficialMiddleName: | M | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3157381671 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | P.T. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.