Organization
IRM,PT,P.C.
Active
Other names
PTPC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA MOCCIA (PRACTICE ADMINISTRATOR)
(845) 368-2180
Entity
Organization
Contact information
Practice address
28B INDIAN ROCK PL, ROUTE 59, MONTEBELLO, NY 10901-4907
(845) 368-2180
(845) 368-2187
Mailing address
28B INDIAN ROCK PL, ROUTE 59, MONTEBELLO, NY 10901-4907
(845) 368-2180
(845) 368-2187
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
4001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0226401
AETNA ORTHONET
NY
01
—
1053311324
NPI NUMBER
NY
01
—
1104819812
NPI NUMBER
NY
01
—
1942234471
NPI NUMBER
NY
Enumeration date
10/17/2006
Last updated
04/17/2008
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