SHANE M CHERICO

SPORTS PHYSICAL THERAPY OF NEW YORK, P.C.

Dr SHANE M CHERICO is a male medical professional, specializing in Physical Therapy. He graduated in 2013.

Contact

SPORTS PHYSICAL THERAPY OF NEW YORK, P.C.

4102 ELLSWORTH BLVD
MALTA
NY
12020

Tel: 5182401152

SHANE M CHERICO Information

Npi 1881024438
Pac Id 6305063686
Professional Enrollment Id I20140811000401
Last Name CHERICO
First Name SHANE
Middle Name M
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2013
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SPORTS PHYSICAL THERAPY OF NEW YORK, P.C.
Group Practice Pac Id 4284531674
Number Of Group Practice Members 39
Line 1 Street Address 4102 ELLSWORTH BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City MALTA
State NY
Zip Code 12020
Phone Number 5182401152
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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