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Organization

PHYSIATRY & REHABILITATION MEDICINE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREW J MORPURGO MD (PHYSICIAN/OWNER)
(607) 277-4097
Entity
Organization

Contact information

Practice address
201 DATES DRIVE, SUITE 201, ITHACA, NY 14850
(607) 277-4097
(607) 277-4142
Mailing address
202 TAUGHANNOCK BLVD., PO BOX 366, ITHACA, NY 14851
(607) 277-3257
(607) 277-4056

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02181428
NY
Enumeration date
05/04/2006
Last updated
01/27/2010
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