Nicole Derue Physical Therapy PC
Nicole Derue Physical Therapy PC is a Physical Therapy Clinic/Center in Central Square, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
573 S Main StCentral Square, NY 13036-9785
Phone: (315) 676-3826
Fax: (315) 676-3402
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Clinic/Center (primary) | Taxonomy 261QP2000X · Licence 0590998 (NY) |
|---|
Record details
| NPI number | 1053503185 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Nicole Derue — President · (315) 676-3826 |
| Other names | Fairway Physical Therapy North |
| NPI enumerated | August 13, 2007 |
| Last updated in NPPES | November 21, 2007 |
| Mailing address | 573 S Main St, Central Square, NY 13036-9785 |