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NPI Code Detail

MEDICARE: IRM,PT,P.C.

MEDICARE: IRM,PT,P.C.
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
1261QP2000XPhysical Therapy Clinic/Center4001NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10226401OTHERNYAETNA ORTHONET
21942234471OTHERNYNPI NUMBER
31053311324OTHERNYNPI NUMBER
41104819812OTHERNYNPI NUMBER

General Provider Information

NPI Number : 1689754129
Entity Type Code : Organization
Provider Name (Legal Business Name) : IRM,PT,P.C.
Provider Business Mailing Address
First Line : 28B INDIAN ROCK PL
Second Line : ROUTE 59
City : MONTEBELLO
State : NY
Zip : 10901-4907
Country : US
Telephone Number : 845-368-2180
Fax Number : 845-368-2187
Provider Business Practice Location Address
First Line : 28B INDIAN ROCK PL
Second Line : ROUTE 59
City : MONTEBELLO
State : NY
Zip : 10901-4907
Country : US
Telephone Number : 845-368-2180
Fax Number : 845-368-2187
Authorized Official
Title or Position : PRACTICE ADMINISTRATOR
Name : MRS. BARBARA MOCCIA
Credential :
Telephone Number : 845-368-2180
Provider Enumeration Date : 10/17/2006
Last Update Date : 04/17/2008

Similar Medicare Providers

1053311324 — MR. JOEL V. ROSENSTEIN P.T.
Practice Location Address:
28B INDIAN ROCK
MONTEBELLO, NY
10901-4907
Practice Phone: 845-368-2180
Practice Fax: 845-368-2187
1891918660 — ALLISON JARNICH MSPT
Practice Location Address:
28B INDIAN ROCK PLAZA ROUTE 59
MONTEBELLO, NY
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Practice Fax:
1558580647 — MARIANO FREDERICO GAVIOLA
Practice Location Address:
28B INDIAN ROCK
MONTEBELLO, NY
10901-4907
Practice Phone: 845-368-2180
Practice Fax:
1619120375 — MARIA RAMONA MOLDOVAN
Practice Location Address:
28B INDIAN ROCK
MONTEBELLO, NY
10901-4907
Practice Phone: 845-368-2180
Practice Fax: 845-623-6556
1578998639 — INDIAN ROCK DENTAL, PC
Practice Location Address:
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10901-4907
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Practice Fax:
1700280898 — MRS. VIJI MARY VERGIS PT
Practice Location Address:
28B INDIAN ROCK PLAZA , RT. 59
MONTEBELLO, NY
10901-4907
Practice Phone: 845-368-2180
Practice Fax: 845-368-2187

Directions to “IRM,PT,P.C. ” Practice Location

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