Joseph A Decondo, PT, DPT
Physical Therapist in New Hartford, NY. Individual provider (NPI-1).
NPI number1083171417
StatusActive
Last updated in NPPESFeb 21, 2019
Details
- NPI
- 1083171417
- Entity type
- Individual (NPI-1)
- Name
- Joseph A Decondo
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2019
- Last updated
- Feb 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 03699-1 | NY | Yes |
Practice location
4290 Middle Settlement RdNew Hartford, NY 13413-5314
Phone 315-272-2200
Mailing address
4290 Middle Settlement RdNew Hartford, NY 13413-5394
Phone 315-272-2200
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