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Organization
VICTOR PHYSICAL THERAPY, LLC
Active
Organization
VICTOR PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JEFFREY CARPIN M.P.T. (PHYSICAL THERAPIST)
(585) 924-3250
Entity
Organization
Contact information
Practice address
274 W MAIN ST, VICTOR, NY 14564-1157
(585) 924-3250
(585) 924-5127
Mailing address
274 W MAIN ST, VICTOR, NY 14564-1157
(585) 924-3250
(585) 924-5127
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
019558
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107162FT
PREFERRED CARE
NY
01
—
7574307
AETNA
NY
01
—
G0186893370
EXCELLUS BCBS
NY
Enumeration date
01/05/2007
Last updated
08/22/2020
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