Mrs Laurel E Dickerson, PT - Physical Therapist in Ravena, NY

Mrs Laurel E Dickerson, PT is a Physical Therapist based in Ravena, New York. Mrs Laurel E Dickerson is licensed to practice in New York (license number 005450-1) and her current practice location is 14379 Route 9w, Ravena, New York. She can be reached at her office (for appointments etc.) via phone at (518) 756-3124.

NPI number for Mrs Laurel E Dickerson is 1598918708 and her current mailing address is 537 Route 9w, Glenmont, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598918708.

Contact Information

Mrs Laurel E Dickerson, PT
14379 Route 9w,
Ravena, NY 12143
(518) 756-3124
(518) 756-9476



Healthcare Provider's Profile

Full NameMrs Laurel E Dickerson
GenderFemale
SpecialityPhysical Therapist
Location14379 Route 9w, Ravena, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1598918708
  • Provider Enumeration Date: 10/31/2008
  • Last Update Date: 06/14/2012

Medical Identifiers

Medical identifiers for Mrs Laurel E Dickerson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598918708NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 005450-1 (New York)Primary
252Y00000XEarly Intervention Provider Agency 005450-1 (New York)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Laurel E Dickerson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Laurel E Dickerson, PT
537 Route 9w,
Glenmont, NY 12077-3703

Ph: (518) 436-7888
Mrs Laurel E Dickerson, PT
14379 Route 9w,
Ravena, NY 12143

Ph: (518) 756-3124

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› Verified 7 days ago


Physical Therapist in Ravena, NY

Mrs. Amy E Waite, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 14379 Route 9w, Ravena, NY 12143
Phone: 518-756-3124    Fax: 518-756-9476
Quinn Roderick, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 14379 Us Route 9w, Ravena, NY 12143
Phone: 518-756-3124    
Mrs. Michelle A Agostinoni, D.P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 14379 Route 9w, Ravena, NY 12143
Phone: 518-756-3124    Fax: 518-756-9476

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