NICOLE MICHELLE DUTRA

SLOANE STECKER PHYSICAL THERAPY PC

Dr NICOLE MICHELLE DUTRA is a female medical professional, specializing in Physical Therapy. She graduated in 2018 from State University Of New York At Stony Brook, School Of Medicine.

Contact

SLOANE STECKER PHYSICAL THERAPY PC

1 BRIDGE ST
SUITE 71
IRVINGTON
NY
105331560

Tel: 9144780608

NICOLE MICHELLE DUTRA Information

Npi 1255800587
Pac Id 4789918343
Professional Enrollment Id I20190702000751
Last Name DUTRA
First Name NICOLE
Middle Name MICHELLE
Suffix
Gender F
Credential
Medical School Name STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year 2018
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SLOANE STECKER PHYSICAL THERAPY PC
Group Practice Pac Id 0446273635
Number Of Group Practice Members 16
Line 1 Street Address 1 BRIDGE ST
Line 2 Street Address SUITE 71
Marker Of Address Line 2 Suppression
City IRVINGTON
State NY
Zip Code 105331560
Phone Number 9144780608
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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