Fairway Physical Therapy North

LBN: Nicole Derue Physical Therapy P.C.
Fairway Physical Therapy North is an health care organization with primary practice located at 573 S Main St , Central Square NY 13036-9785. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Nicole Derue Physical Therapy P.C. can be contacted via phone (315) 676-3826, or through Derue, Nicole Blythe via phone (315) 676-3826.

Contact Information

Primary practice address
573 S Main St Central Square NY 13036-9785
Phone: (315) 676-3826
Fax: (315) 676-3402
Website:
Map and Directions
Authorized official contact:
Name: Derue, Nicole Blythe Physical Therapist (PT)
Phone: (315) 676-3826

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 0590998 New York

Profile Details

NPI number 1053503185
LBN Legal business name Nicole Derue Physical Therapy P.C.
DBA Doing business as Fairway Physical Therapy North
Authorized official Derue, Nicole Blythe Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2007
Last updated Nov 21st, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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