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NPI Code Detail

MEDICARE: MR. ADAM P RUFA PT

MEDICARE: MR. ADAM P RUFA PT
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 Therapist024346-2NY

General Provider Information

NPI Number : 1265431894
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ADAM P RUFA PT
Provider Business Mailing Address
First Line : 5496 E TAFT RD
Second Line : SUITE 2
City : NORTH SYRACUSE
State : NY
Zip : 13212-3784
Country : US
Telephone Number : 315-451-6541
Fax Number : 315-451-7059
Provider Business Practice Location Address
First Line : 5496 E TAFT RD
Second Line : SUITE 2
City : NORTH SYRACUSE
State : NY
Zip : 13212-3784
Country : US
Telephone Number : 315-451-6541
Fax Number : 315-451-7059
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 04/03/2010

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