Mohawk Valley Physical Medicine And Rehab

LBN: Mohawk Valley Physical Medicine And Rehab
Mohawk Valley Physical Medicine And Rehab is an health care organization with primary practice located at 4988 State Highway 30 St. Mary'S Hospital Memorial Campus, Amsterdam NY 12010-7520. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Mohawk Valley Physical Medicine And Rehab can be contacted via phone (518) 841-3481, or through Fedullo, John Lewis via phone (518) 841-3481.

Contact Information

Primary practice address
4988 State Highway 30 St. Mary'S Hospital Memorial Campus Amsterdam NY 12010-7520
Phone: (518) 841-3481
Fax: (518) 841-3481
Website:
Map and Directions
Authorized official contact:
Name: Fedullo, John Lewis Doctor of Osteopathy (DO)
Phone: (518) 841-3481

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 197917 New York

Profile Details

NPI number 1720051428
LBN Legal business name Mohawk Valley Physical Medicine And Rehab
DBA Doing business as
Authorized official Fedullo, John Lewis Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2006
Last updated Mar 7th, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1720051428 NPPES
New York MEDICAID 01762629
New York Other OPPMR 197917-8
New York Other 1538364237

Popular Providers