Provider Demographics
NPI:1780771212
Name:SALVAGNI, ADRIENNE A (DPT)
Entity type:Individual
Prefix:MRS
First Name:ADRIENNE
Middle Name:A
Last Name:SALVAGNI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:ADRIENNE
Other - Middle Name:A
Other - Last Name:GLAZER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:3 SPRINGHURST DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:EAST GREENBUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12061-2261
Mailing Address - Country:US
Mailing Address - Phone:518-479-7172
Mailing Address - Fax:518-286-3798
Practice Address - Street 1:3 SPRINGHURST DR
Practice Address - Street 2:SUITE 1
Practice Address - City:EAST GREENBUSH
Practice Address - State:NY
Practice Address - Zip Code:12061-2261
Practice Address - Country:US
Practice Address - Phone:518-479-7172
Practice Address - Fax:518-286-3798
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028582225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist