National Provider Identifier

Brian Kazmark

Brian Kazmark is listed in the NPPES registry with a primary specialty of Physical Therapist in Painted Post, NY and a listed phone number of (607) 937-4800.

NPI 1174302772Painted Post, NYPhysical Therapist

Profile Overview

NPI
1174302772
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 25, 2023
Last Updated
September 25, 2023

Practice Location

  • 9768 Liberty Dr
  • Painted Post, NY 14870-9094

Phone: (607) 937-4800

Mailing Address

  • 2678 Johnson RD
  • Horseheads, NY 14845-9501

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1174302772
Entity Type
Individual
Last Name
Kazmark
First Name
Brian
Mailing Street Address
2678 Johnson RD
Mailing City
Horseheads
Mailing State
NY
Mailing ZIP Code
14845-9501
Mailing Country
US
Practice Street Address
9768 Liberty Dr
Practice City
Painted Post
Practice State
NY
Practice ZIP Code
14870-9094
Practice Country
US
Practice Phone
(607) 937-4800
Enumeration Date
September 25, 2023
Last Updated
September 25, 2023
Sex
Male
Sole Proprietor
No
Certification Date
September 25, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)