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NPI Code Detail

MEDICARE: MR. WILLIAM MICHAEL COVELL PT

MEDICARE: MR. WILLIAM MICHAEL COVELL 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 Therapist007206-1NY

General Provider Information

NPI Number : 1598830044
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM MICHAEL COVELL PT
Provider Business Mailing Address
First Line : 9502 PUTNAM RD
Second Line : APT# 2
City : BATAVIA
State : NY
Zip : 14020-9766
Country : US
Telephone Number : 585-219-4229
Fax Number :
Provider Business Practice Location Address
First Line : 170 WEST AVE
Second Line :
City : BROCKPORT
State : NY
Zip : 14420-1227
Country : US
Telephone Number : 585-395-6095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2006
Last Update Date : 07/08/2007

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