Provider Demographics
NPI:1689937773
Name:MEGHAN D CONDRON, PHYSICAL THERAPY, P.C.
Entity Type:Organization
Organization Name:MEGHAN D CONDRON, PHYSICAL THERAPY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:DEVINE
Authorized Official - Last Name:CONDRON
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:914-275-7259
Mailing Address - Street 1:933 LESTER RD
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-2923
Mailing Address - Country:US
Mailing Address - Phone:914-275-7259
Mailing Address - Fax:
Practice Address - Street 1:933 LESTER RD
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-2923
Practice Address - Country:US
Practice Address - Phone:914-275-7259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024480273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit