National Provider Identifier
Zoe Fackelman, PT
Zoe Fackelman, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Canandaigua, NY and a listed phone number of (585) 396-1400.
Profile Overview
- NPI
- 1457493017
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- February 12, 2007
- Last Updated
- July 09, 2007
Practice Location
- 241 Parrish St
- Suite A
- Canandaigua, NY 14424-1727
Phone: (585) 396-1400
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1457493017
- Entity Type
- Individual
- Last Name
- Fackelman
- First Name
- Zoe
- Name Prefix
- MS.
- Credential
- PT
- Mailing Street Address
- 241 Parrish St
- Mailing Address Line 2
- Suite A
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1727
- Mailing Country
- US
- Mailing Phone
- (585) 396-1400
- Mailing Fax
- (585) 396-3368
- Practice Street Address
- 241 Parrish St
- Practice Address Line 2
- Suite A
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1727
- Practice Country
- US
- Practice Phone
- (585) 396-1400
- Practice Fax
- (585) 396-3368
- Enumeration Date
- February 12, 2007
- Last Updated
- July 09, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 145555FT (NY, Preferred Care Provider I), 1608653 (NY), 7997422 (NY, Rcippae Provider Id)