Organization
ROBERT BERKLEY PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BERKLEY PT (PHYSICAL THERAPIST/OWNER)
(315) 343-5095
Entity
Organization
Contact information
Practice address
9 BRIDIE SQUARE, OSWEGO, NY 13126-0752
(315) 343-5095
(315) 326-0100
Mailing address
9 BRIDIE SQUARE, PO BOX 3052, OSWEGO, NY 13126-0752
(315) 343-5095
(315) 326-0100
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
016530
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000166151
BLUE CROSS BLUE SHEILD
NY
05
—
02449076
—
NY
Enumeration date
07/16/2007
Last updated
06/16/2008
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