Physical Medicine & Rehabilitation Medical Service Group

LBN: Physical Medicine & Rehabilitation Medical Service Group
Physical Medicine & Rehabilitation Medical Service Group is an health care organization with primary practice located at 550 Harrison St Suite 100, Syracuse NY 13202-3188. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. Physical Medicine & Rehabilitation Medical Service Group can be contacted via phone (315) 464-6312, or through Weber, Robert J via phone (315) 464-5820.

Contact Information

Primary practice address
550 Harrison St Suite 100 Syracuse NY 13202-3188
Phone: (315) 464-6312
Fax: (315) 464-8524
Website:
Map and Directions
Authorized official contact:
Name: Weber, Robert J Doctor of Medicine (MD)
Phone: (315) 464-5820

Health care specialties

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

Profile Details

NPI number 1366533812
LBN Legal business name Physical Medicine & Rehabilitation Medical Service Group
DBA Doing business as
Authorized official Weber, Robert J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2006
Last updated Oct 13th, 2010 - about 14 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 1366533812 NPPES
New York MEDICAID 01156312

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