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NPI Code Detail

MEDICARE: JEFFREY M MCGIVERN PT

MEDICARE:   JEFFREY M MCGIVERN  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 Therapist024250-1NY

General Provider Information

NPI Number : 1326103375
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY M MCGIVERN PT
Provider Business Mailing Address
First Line : 383 WHITE SPRUCE BLVD
Second Line :
City : ROCHESTER
State : NY
Zip : 14623-1603
Country : US
Telephone Number : 585-442-6067
Fax Number : 585-442-6073
Provider Business Practice Location Address
First Line : 5 FISHER RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14624-3444
Country : US
Telephone Number : 585-247-0270
Fax Number : 585-247-0294
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2006
Last Update Date : 03/25/2013

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Directions to “ JEFFREY M MCGIVERN PT” Practice Location

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