1437242989 NPI number — MRS. REBECCA S PROIETTI PT

Table of content: MRS. REBECCA S PROIETTI PT (NPI 1437242989)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437242989 NPI number — MRS. REBECCA S PROIETTI PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PROIETTI
Provider First Name:
REBECCA
Provider Middle Name:
S
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BRIGATI
Provider Other First Name:
REBECCA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PT
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1437242989
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/17/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
792 N MAIN ST STE 100C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH SYRACUSE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13212-1667
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
315-458-2552
Provider Business Mailing Address Fax Number:
315-458-2575

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
323 ROUTE 5
Provider Second Line Business Practice Location Address:
STE 5
Provider Business Practice Location Address City Name:
WEEDSPORT
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13166
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
315-689-7989
Provider Business Practice Location Address Fax Number:
315-303-6505
Provider Enumeration Date:
10/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  021175 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com