Mansfield, John Todd

Mansfield, John Todd is an individual health care provider with primary practice located at 200 Front St Suite D, Vestal NY 13850-1559. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mansfield, John Todd can be contacted via phone (607) 754-1776.

Contact Information

Primary practice address
200 Front St Suite D Vestal NY 13850-1559
Phone: (607) 754-1776
Fax: (607) 748-5465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 008333 New York

Profile Details

NPI number 1013027010
LBN Legal business name Mansfield, John Todd
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 4th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013027010 NPPES
New York MEDICAID 01030579

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