Premier Physical Therapy Of The Fingerlakes, Pllc

LBN: Premier Physical Therapy Of The Fingerlakes, Pllc
Premier Physical Therapy Of The Fingerlakes, Pllc is an health care organization with primary practice located at 229 Parrish Street Suite 220, Canandaigua NY 14424. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Premier Physical Therapy Of The Fingerlakes, Pllc can be contacted via phone (585) 394-3920, or through Carlson, Mitchell Robert via phone (585) 394-3920.

Contact Information

Primary practice address
229 Parrish Street Suite 220 Canandaigua NY 14424
Phone: (585) 394-3920
Fax: (585) 394-3997
Website:
Map and Directions
Authorized official contact:
Name: Carlson, Mitchell Robert Physical Therapist (PT)
Phone: (585) 394-3920

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 014144-1 New York
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1255393930
LBN Legal business name Premier Physical Therapy Of The Fingerlakes, Pllc
DBA Doing business as
Authorized official Carlson, Mitchell Robert Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2006
Last updated Jun 11th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255393930 NPPES
New York Other 020114144 EXCELLUS BC BS
New York MEDICAID 02632479 EXCELLUS BC BS
New York Other 0185042370 EXCELLUS BC BS
New York Other DC4683 EXCELLUS BC BS
New York Other 601318000 EXCELLUS BC BS
New York Other 7735556 EXCELLUS BC BS
New York Other 145851FT EXCELLUS BC BS

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