| |
137 Front St, Deposit, NY 13754-1128 | |
(607) 467-5858 | |
(607) 467-5655 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 137 Front St, Deposit, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578513305 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 007566-1 (New York) | Primary |
Mailing Address | Practice Location Address |
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137 Front St, Deposit, NY 13754-1128 Ph: (607) 467-5858 | 137 Front St, Deposit, NY 13754-1128 Ph: (607) 467-5858 |