Doctor Name: | DR. NICOLE MARIE CROSS |
NPI Number: | 1871801217 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 033039-1 |
Business Practice Address: | 6620 Fly Rd Suite 102 East Syracuse, NY - 130579717 |
Business Phone Number: | 3153994770 |
Business Fax Number: | 3153994771 |
Mailing Address: | 6620 Fly Rd, Suite 102 EAST SYRACUSE |
State: | NY |
Postal Code: | 130579717 |
Phone Number: | 3153994770 |
Fax Number: | 3153994771 |
NPI Enumeration Date: | 09/20/2010 |
NPI Last Update Date: | 09/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 033039-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |