National Provider Identifier

Megan Danielle Carnevale, MSPT

Megan Danielle Carnevale, MSPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Lyons, NY and a listed phone number of (315) 946-5673.

NPI 1881847986Lyons, NYPhysical Therapist

Profile Overview

NPI
1881847986
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
November 03, 2008
Last Updated
November 03, 2008

Practice Location

  • 1529 Nye RD
  • Lyons, NY 14489-9111

Phone: (315) 946-5673

Mailing Address

  • 159 W 1St St
  • Oswego, NY 13126-2045

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1881847986
Entity Type
Individual
Last Name
Carnevale
First Name
Megan
Middle Name
Danielle
Name Prefix
Mrs.
Credential
MSPT
Provider Other Last Name
Disanto
Provider Other First Name
Megan
Provider Other Middle Name
Danielle
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
MSPT
Provider Other Last Name Type Code
1
Mailing Street Address
159 W 1St St
Mailing City
Oswego
Mailing State
NY
Mailing ZIP Code
13126-2045
Mailing Country
US
Mailing Phone
(315) 342-9575
Mailing Fax
(315) 342-7664
Practice Street Address
1529 Nye RD
Practice City
Lyons
Practice State
NY
Practice ZIP Code
14489-9111
Practice Country
US
Practice Phone
(315) 946-5673
Practice Fax
(315) 946-5850
Enumeration Date
November 03, 2008
Last Updated
November 03, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)