Pescatore, Laurie Ann

Pescatore, Laurie Ann is an individual health care provider with primary practice located at 33-57 Harrison St , Johnson City NY 13790-2107. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Pescatore, Laurie Ann can be contacted via phone (607) 763-6033.

Contact Information

Primary practice address
33-57 Harrison St Johnson City NY 13790-2107
Phone: (607) 763-6033
Fax: (607) 763-6853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 020743-1 New York

Profile Details

NPI number 1497036677
LBN Legal business name Pescatore, Laurie Ann
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2011
Last updated Jul 10th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497036677 NPPES
New York MEDICAID 00614755

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