Provider Demographics
NPI:1588940423
Name:CONE, PAMELA FAY (PTA)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:FAY
Last Name:CONE
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2A RICHMOND AVE
Mailing Address - Street 2:PHYSICAL THERAPY DEPT
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020-1408
Mailing Address - Country:US
Mailing Address - Phone:585-343-5384
Mailing Address - Fax:
Practice Address - Street 1:2A RICHMOND AVE
Practice Address - Street 2:PHYSICAL THERAPY DEPT
Practice Address - City:BATAVIA
Practice Address - State:NY
Practice Address - Zip Code:14020-1408
Practice Address - Country:US
Practice Address - Phone:585-343-5384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-24
Last Update Date:2011-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002710-1225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant