National Provider Identifier
New York Physical Medicine Center
New York Physical Medicine Center is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician in Rochester, NY and a listed phone number of (585) 544-6410.
Source: public NPPES record, last updated May 09, 2012. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1609135888
- Provider Type
- Organization
- Primary Specialty
- Physical Medicine & Rehabilitation Physician
- Enumeration Date
- May 09, 2012
- Last Updated
- May 09, 2012
Practice Location
- 1295 Portland Ave
- Ste 9
- Rochester, NY 14621-2731
Phone: (585) 544-6410
Authorized Official
- Name
- Lisa Keough
- Title
- Credentialing Specialist
- Phone
- (405) 848-7974
Specialties
- Physical Medicine & Rehabilitation Physician (208100000X)
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Full Record
- NPI
- 1609135888
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- New York Physical Medicine Center
- Mailing Street Address
- 1295 Portland Ave
- Mailing Address Line 2
- Ste 9
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-2731
- Mailing Country
- US
- Mailing Phone
- (585) 544-6410
- Mailing Fax
- (585) 544-9247
- Practice Street Address
- 1295 Portland Ave
- Practice Address Line 2
- Ste 9
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-2731
- Practice Country
- US
- Practice Phone
- (585) 544-6410
- Practice Fax
- (585) 544-9247
- Enumeration Date
- May 09, 2012
- Last Updated
- May 09, 2012
- Authorized Official Last Name
- Keough
- Authorized Official First Name
- Lisa
- Authorized Official Title
- Credentialing Specialist
- Authorized Official Phone
- (405) 848-7974
- Organization Subpart
- No
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Medicine & Rehabilitation Physician (208100000X)