Provider Demographics
NPI:1801960562
Name:PERCOCO, ANTHONY CRAIG (MS PT)
Entity type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:CRAIG
Last Name:PERCOCO
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Gender:M
Credentials:MS PT
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Mailing Address - Street 1:217 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1503
Mailing Address - Country:US
Mailing Address - Phone:914-763-5941
Mailing Address - Fax:914-763-5332
Practice Address - Street 1:217 MAIN ST
Practice Address - Street 2:
Practice Address - City:ROWLEY
Practice Address - State:MA
Practice Address - Zip Code:01969-1503
Practice Address - Country:US
Practice Address - Phone:617-730-5337
Practice Address - Fax:617-730-5461
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2020-05-04
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Provider Licenses
StateLicense IDTaxonomies
NY0244071225100000X
MA11601208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist