Central New York Physiatry, P.C.

LBN: Central New York Physiatry, P.C.
Central New York Physiatry, P.C. is an health care organization with primary practice located at 115 Genesee St , New Hartford NY 13413-2392. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Central New York Physiatry, P.C. can be contacted via phone (315) 724-1410, or through Yang, Chul Jo via phone (315) 724-1410.

Contact Information

Primary practice address
115 Genesee St New Hartford NY 13413-2392
Phone: (315) 724-1410
Fax: (315) 724-1449
Website:
Map and Directions
Authorized official contact:
Name: Yang, Chul Jo Doctor of Medicine (MD)
Phone: (315) 724-1410

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X New York

Profile Details

NPI number 1417909656
LBN Legal business name Central New York Physiatry, P.C.
DBA Doing business as
Authorized official Yang, Chul Jo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2006
Last updated Apr 17th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417909656 NPPES
New York MEDICAID 01519213

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