| |
5183 Lyle Dr, Clay, NY 13041-9721 | |
(888) 706-0030 | |
(888) 817-4702 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 5183 Lyle Dr, Clay, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164822078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 021324-01 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
5183 Lyle Dr, Clay, NY 13041-9721 Ph: (888) 706-0030 | 5183 Lyle Dr, Clay, NY 13041-9721 Ph: (888) 706-0030 |
Jason A Myers, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5183 Lyle Dr, Clay, NY 13041 Phone: 315-382-8939 Fax: 888-817-4702 |