Individual
BRIAN SCOTT FOGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
(315) 342-7664
Mailing address
159 W 1ST ST, OSWEGO, NY 13126-2045
(315) 342-9575
(315) 342-7664
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
029581
NY
Other
Enumeration date
08/08/2007
Last updated
04/03/2019
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