Chad G Condidorio
Physical Therapist - Sports
4901 Lac De Ville Blvd
Rochester
, New York 14618-5647
Chad G Condidorio
Physical Therapist - Sports
4901 Lac De Ville Blvd
Rochester
, New York 14618-5647
(585) 341-9149
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Chad G Condidorio
- 4901 Lac De Ville Blvd
- Rochester, NY
- Zip : 14618-5647
- Phone : (585) 341-9149
Second Address
- Chad G Condidorio
- 4901 Lac De Ville Blvd
- Rochester, NY
- Zip : 14618-5647
- Phone : (585) 341-9149
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What type of doctor is Chad G Condidorio
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Is Chad G Condidorio a sole practitioner?
Is Chad G Condidorio accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports | 037253 | NY |
National Provider Identifier
| NPI | 1326684200 |
|---|---|
| Provider Name | Chad G Condidorio |
| First Address | Rochester, NY 14618-5647 |
| Second Address | Rochester, NY 14618-5647 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/11/2019 |
| Last Update Date | 26/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.