National Provider Identifier

Martin Paul Audycki

Martin Paul Audycki is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 334-8090.

NPI 1700882289Rochester, NYPhysical Therapist

Source: public NPPES record, last updated August 22, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1700882289
Provider Type
Organization
Primary Specialty
Physical Therapist
Enumeration Date
June 21, 2005
Last Updated
August 22, 2020

Practice Location

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

Phone: (585) 334-8090

Authorized Official

Name
Mr. Martin Paul Audycki
Title
Co-Owner/Physical Therapist
Credentials
PT
Phone
(585) 227-2580

Specialties

  • Physical Therapist (225100000X)

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Full Record
NPI
1700882289
Entity Type
Organization
Organization Name
Martin Paul Audycki
Provider Other Organization Name Type Code
6
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) 334-8090
Practice Fax
(585) 334-8104
Enumeration Date
June 21, 2005
Last Updated
August 22, 2020
Authorized Official Last Name
Audycki
Authorized Official First Name
Martin
Authorized Official Middle Name
Paul
Authorized Official Title
Co-Owner/Physical Therapist
Authorized Official Phone
(585) 227-2580
Organization Subpart
No
Authorized Official Name Prefix Text
Mr.
Authorized Official Credential Text
PT
Taxonomy Group 1
193200000X Multi-Specialty Group
Taxonomies
Physical Therapist (225100000X)