National Provider Identifier

Martin Paul Audycki, PT

Martin Paul Audycki, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 227-2580.

NPI 1023103959Rochester, NYPhysical Therapist

Profile Overview

NPI
1023103959
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
October 04, 2006
Last Updated
July 08, 2007

Practice Location

  • 1564 Long Pond RD
  • Rochester, NY 14626-4119

Phone: (585) 227-2580

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1023103959
Entity Type
Individual
Last Name
Audycki
First Name
Martin
Middle Name
Paul
Credential
PT
Mailing Street Address
1564 Long Pond RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14626-4119
Mailing Country
US
Mailing Phone
(585) 227-2580
Mailing Fax
(585) 227-3077
Practice Street Address
1564 Long Pond RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14626-4119
Practice Country
US
Practice Phone
(585) 227-2580
Practice Fax
(585) 227-3077
Enumeration Date
October 04, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)
Other Identifiers
10363 (NY, PT License Number), 11225297 (NY, Caqh Id Number)