Provider Demographics
NPI:1629161914
Name:DANDROW, LORI (PT DPT)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:
Last Name:DANDROW
Suffix:
Gender:F
Credentials:PT DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 BOOTH DR
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-6404
Mailing Address - Country:US
Mailing Address - Phone:518-561-2225
Mailing Address - Fax:518-561-2212
Practice Address - Street 1:2 HEALEY AVE
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-2413
Practice Address - Country:US
Practice Address - Phone:518-561-2225
Practice Address - Fax:518-561-2212
Is Sole Proprietor?:No
Enumeration Date:2006-10-01
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013185-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB2952Medicare PIN