Mack, Joan M

Mack, Joan M is an sole proprietor health care provider with primary practice located at 1574 Union St , Schenectady NY 12309-6120. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mack, Joan M can be contacted via phone (518) 374-2127.

Contact Information

Primary practice address
1574 Union St Schenectady NY 12309-6120
Phone: (518) 374-2127
Fax: (518) 374-2142
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 0029001 New York

Profile Details

NPI number 1609866011
LBN Legal business name Mack, Joan M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2005
Last updated Sep 13th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609866011 NPPES
Other AA0727 MEDICARE GROUP NUMBER
MEDICAID 0184495 MEDICARE GROUP NUMBER

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