Nace Sue Solana Balorio, PT, DPT
Individual provider Active NPI Physical Therapist · Canandaigua, NY
NPI 1013739697 · NPPES record last updated Oct 25, 2024
Key facts
- NPI
- 1013739697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 042979 (NY)
- Practice address
- 132 Camelot Dr
Canandaigua, NY 14424-2505 - Phone
- (347) 246-5411
- NPI assigned
- Oct 25, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042979 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esd PT OT & SLP PLLC | Physical Therapist | Current |
Accepting new patients |
Locations
2632 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 473-3803
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 042979 | NY | Yes |
Addresses
Primary practice location
132 Camelot Dr
Canandaigua, NY 14424-2505
Mailing address
132 Camelot Dr
Canandaigua, NY 14424-2505
Phone (347) 246-5411
Other providers in Canandaigua, NY
- Robert Barton Babcock
- Jillian Jean Babu
- Ilene Michelle Badain
- Veronica Bailey
- Sunil Baldwa
- Jennifer Heberle Barnes
- Raymond Barrett
- David W. Barszewski
- Kristine A Barszewski
- Gregory Allen Bartholomew
All providers in Canandaigua, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.