Most Relevant Information
Provider Data
| NPI Number: | 1003397209 |
| Provider Name: | JASON LEE DIPIERRO PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/24/2018 |
| Last Updated: | 08/24/2018 |
Provider Practice Location
28 TERRY AVE
SCHENECTADY
NY
123034819
Practice Location Phone/Fax
| Phone: | 5183798256 |
| Fax: |
Provider Mailing Location
28 TERRY AVE
SCHENECTADY
NY
123034819
Provider Mailing Phone/Fax
| Phone: | 5183798256 |
| Fax: |