Pogonowski, Elizabeth M

Pogonowski, Elizabeth M is an individual health care provider with primary practice located at 2050 Tilden Ave Box 1000, New Hartford NY 13413-3613. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Pogonowski, Elizabeth M can be contacted via phone (315) 797-3114.

Contact Information

Primary practice address
2050 Tilden Ave Box 1000 New Hartford NY 13413-3613
Phone: (315) 797-3114
Fax: (315) 624-0474
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7876283 New York

Profile Details

NPI number 1578818068
LBN Legal business name Pogonowski, Elizabeth M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2012
Last updated Oct 14th, 2015 - about 11 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 1578818068 NPPES
New York MEDICAID 01815443
New York MEDICAID 00313539

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