MEDICARE: MALYS PHYSICAL THERAPY

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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1710086962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MALYS PHYSICAL THERAPY

Provider Business Mailing Address
First Line	:	77 NELSON ST
Second Line	:	SUITE 130
City	:	AUBURN
State	:	NY
Zip	:	13021-1941
Country	:	US
Telephone Number	:	315-253-6891
Fax Number	:	315-255-0873

Provider Business Practice Location Address
First Line	:	77 NELSON ST
Second Line	:	SUITE 130
City	:	AUBURN
State	:	NY
Zip	:	13021-1941
Country	:	US
Telephone Number	:	315-253-6891
Fax Number	:	315-255-0873

Authorized Official
Title or Position	:	OWNER
Name	:	MARK MALYS
Credential	:
Telephone Number	:	315-253-6891

Provider Enumeration Date	:	09/22/2006
Last Update Date	:	07/18/2008

Similar Medicare Providers

1760475917 — MARK C MALYS PT CHT
Practice Location Address:

77 NELSON STREET , SUITE 130
AUBURN, NY
13021-1941

Practice Phone: 315-253-6891
Practice Fax: 315-255-0873

1356314058 — MS. JANA PODZIMEK D.O.
Practice Location Address:

77 NELSON ST STE 130
AUBURN, NY
13021-1941

Practice Phone: 315-255-3300
Practice Fax:

1255391652 — DR. JOHN ERASMUS KLIBANOFF MD
Practice Location Address:

77 NELSON ST , STE 120
AUBURN, NY
13021-1941

Practice Phone: 315-252-7559
Practice Fax: 315-253-8104

1316984933 — DR. DANIEL ALEXANDER MD
Practice Location Address:

77 NELSON ST , SUITE 120
AUBURN, NY
13021-1941

Practice Phone: 315-252-7559
Practice Fax: 315-253-8104

1942336953 — MRS. MELINDA G JOHNSON PT
Practice Location Address:

77 NELSON STREET , SUITE 130
AUBURN, NY
13021-1941

Practice Phone: 315-253-6891
Practice Fax: 315-255-0873

1184898595 — DR. KAREN MARIE ODRZYWOLSKI M.D.
Practice Location Address:

77 NELSON ST STE 120 , D/B/A NEUROLOGY SERVICES OF AUBURN
AUBURN, NY
13021-1941

Practice Phone: 315-252-7434
Practice Fax: 315-253-8104

Directions to “MALYS PHYSICAL THERAPY ” Practice Location

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