Individual
CHARIESE ANN MEDLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1302 E MAIN ST, ENDICOTT, NY 13760-5430
(607) 757-2600
(607) 757-0384
Mailing address
346 GRAND AVE, JOHNSON CITY, NY 13790-2558
(607) 729-8156
(607) 729-2209
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028973
NY
Other
Enumeration date
01/08/2007
Last updated
11/22/2011
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