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General NPI Number Information
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NPI Number | 1861891848
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Entity Type | Organization
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Legal Business Name | WORKFIT MEDICAL
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Dates
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Enumeration Date | 08/15/2014
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Last Update Date | 08/15/2014
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Provider Practice Location Address
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Address Line | 1160 CHILI AVE
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City | ROCHESTER
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State | NY
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Zip | 14624-3035
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Country | US
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Telephone | 585-500-4599
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Fax |
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Provider Business Mailing Address
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Address Line | 1160 CHILI AVE
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City | ROCHESTER
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State | NY
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Zip | 14624-3035
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Country | US
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Telephone | 585-500-4599
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAY ELLIE
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Credential | MD
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Telephone | 585-500-4599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 037988
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License Number State | NY
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