Individual
BRIAN T. FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
260 NORTH STREET, NEWBURGH, NY 12550
(845) 565-5054
(845) 565-4071
Mailing address
260 NORTH ST, NEWBURGH, NY 12550-3131
(845) 565-5054
(845) 565-4071
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
032655-1
NY
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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