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NPI Code Detail

MEDICARE: NGH PHYSICAL THERAPY ASSOCIATES, PC

MEDICARE: NGH PHYSICAL THERAPY ASSOCIATES, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1689007312
Entity Type Code : Organization
Provider Name (Legal Business Name) : NGH PHYSICAL THERAPY ASSOCIATES, PC
Provider Business Mailing Address
First Line : 515 LONG POND RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14612-3005
Country : US
Telephone Number : 585-227-2310
Fax Number : 585-227-2312
Provider Business Practice Location Address
First Line : 37 N UNION ST
Second Line :
City : SPENCERPORT
State : NY
Zip : 14559-1244
Country : US
Telephone Number : 585-349-2860
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : CYNTHIA SHUMAN
Credential : PT
Telephone Number : 585-442-6067
Provider Enumeration Date : 08/16/2013
Last Update Date : 08/16/2013

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