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Mrs. Linda M Depetro, PT
Specialist in Highland, New York
NPI 1336144864

Linda M Depetro is a Specialist based in Highland, NY. Linda M Depetro practices in Highland, NY and has the professional credentials of PT. The NPI Number for Linda M Depetro is 1336144864 and holds a License No. 003367-1 (New York).

The current practice location address for Linda M Depetro is 280 Route 299, Highland, NY and can be reached out via phone at 845-691-9169 and via fax at 845-691-3864.

Location: 280 Route 299, Highland, NY, 12528-2552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336144864
Provider Name
Linda M Depetro
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
280 Route 299, Highland, NY, 12528-2552
Phone Number
845-691-9169
Fax Number
845-691-3864
Provider Enumeration Date
06/21/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
437112 01 NY MVP
111553 01 NY WELLCARE
18277 01 NY HUDSON HEALTH PLAN
000000011553 01 NY GHI HMO
Q77061 01 NY BLUE CROSS/BLUE SHIELD
10034266 01 NY CDPHP
institution
Provider Business Practice Location Address Details
Address
280 Route 299
City
Highland
State
New York
Zip
12528-2552
Phone Number
845-691-9169
Fax Number
845-691-3864
person
Provider Business Mailing Address Details
Address
280 Route 299
City
Highland
State
New York
Zip
12528-2552
Phone Number
845-691-9169
Fax Number
845-691-3864
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
003367-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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