Tableman, Brian F

Tableman, Brian F is an individual health care provider with primary practice located at 4401 Vestal Pkwy E , Vestal NY 13850-3514. 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. Tableman, Brian F can be contacted via phone (607) 729-7000.

Contact Information

Primary practice address
4401 Vestal Pkwy E Vestal NY 13850-3514
Phone: (607) 729-7000
Fax: (607) 729-5454
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 010172 New York

Profile Details

NPI number 1548241680
LBN Legal business name Tableman, Brian F
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 7th, 2013 - about 10 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 1548241680 NPPES
New York MEDICAID 02409438

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