Tully Physical Therapy | |
505 Nys Route 281, Tully, NY 13159 | |
(315) 696-2400 | |
(315) 696-2486 |
Full Name | Tully Physical Therapy |
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Type | Facility |
Speciality | Physical Therapist |
Location | 505 Nys Route 281, Tully, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447342803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | John C Cognato |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1114099496 PECOS PAC ID: 5193792265 Enrollment ID: I20040920000356 |
Mailing Address | Practice Location Address |
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Tully Physical Therapy 1001 W Fayette St, Suite 400, Syracuse, NY 13204-2859 Ph: (315) 472-1488 | Tully Physical Therapy 505 Nys Route 281, Tully, NY 13159 Ph: (315) 696-2400 |
John C Cognato, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 505 State Route 281, Tully, NY 13159 Phone: 315-696-2400 Fax: 315-696-2486 | |
Michael Richard Saccone Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 505 State Route 281, Tully, NY 13159 Phone: 315-696-2400 Fax: 315-696-2486 |