Organization
OTSEGO PHYSICAL MEDICINE
Active
Organization
OTSEGO PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH ETZL (OFFICE MANAGER)
(607) 431-9191
Entity
Organization
Contact information
Practice address
41-45 DIETZ ST, ONEONTA, NY 13820-1855
(607) 431-9191
Mailing address
41-45 DIETZ ST, ONEONTA, NY 13820-1855
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X010988
NY
207X00000X
Orthopaedic Surgery Physician
Primary
136114-1
NY
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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