Organization
LYCOMING PHYSICAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E HUSKEY MD (PRESIDENT)
(570) 916-4897
Entity
Organization
Contact information
Practice address
250 PIERCE ST, SUITE 103, KINGSTON, PA 18704-5149
(570) 916-4897
(570) 278-1121
Mailing address
250 PIERCE ST, SUITE 103, KINGSTON, PA 18704-5149
(570) 916-4897
(570) 278-1121
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/28/2014
Last updated
02/16/2015
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