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Organization
MOHAWK VALLEY PHYSICAL MEDICINE AND REHAB
Active
Organization
MOHAWK VALLEY PHYSICAL MEDICINE AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN LEWIS FEDULLO D. O. (PRESIDENT)
(518) 841-3481
Entity
Organization
Contact information
Practice address
4988 STATE HIGHWAY 30, ST. MARY'S HOSPITAL MEMORIAL CAMPUS, AMSTERDAM, NY 12010-7520
(518) 841-3481
(518) 841-3481
Mailing address
4988 STATE HIGHWAY 30, AMSTERDAM, NY 12010-7520
(518) 841-3481
(518) 841-3582
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
197917
NY
Other
Enumeration date
02/12/2006
Last updated
03/07/2013
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