Organization
PROCORE PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN JAMES MCCUNE MSPT (OWNER/PHYSICAL THERAPIST)
(845) 680-2673
Entity
Organization
Contact information
Practice address
135 E ERIE ST, SUITE 6, BLAUVELT, NY 10913-1823
(845) 680-2673
(845) 680-2675
Mailing address
135 E ERIE ST, SUITE 6, BLAUVELT, NY 10913-1823
(845) 680-2673
(845) 680-2675
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
018483-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q2W2C1
MEDICARE NUMBER
NY
Enumeration date
12/31/2015
Last updated
12/31/2015
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