National Provider Identifier

Nicole Vander Byl

Nicole Vander Byl is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Newark, NY and a listed phone number of (315) 332-2317.

NPI 1851039572Newark, NYPhysical Therapy Assistant

Profile Overview

NPI
1851039572
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
May 23, 2022
Last Updated
May 24, 2022

Practice Location

  • 100 Sunset Dr
  • Newark, NY 14513-1068

Phone: (315) 332-2317

Specialties

  • Physical Therapy Assistant (225200000X)

Endpoints

  • Demay

    Other Url | Newark, NY 14513

Full Record
NPI
1851039572
Entity Type
Individual
Last Name
Vander Byl
First Name
Nicole
Mailing Street Address
100 Sunset Dr
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-1068
Mailing Country
US
Practice Street Address
100 Sunset Dr
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1068
Practice Country
US
Practice Phone
(315) 332-2317
Enumeration Date
May 23, 2022
Last Updated
May 24, 2022
Sex
Female
Sole Proprietor
No
Certification Date
May 24, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)