Lycoming Physical Medicine, PC
NPI #1356751580 in Kingston, Pennsylvania
Provider Information
- NPI Number
- 1356751580
- Entity Type
- Organization
- Organization Name
- Lycoming Physical Medicine, PC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Apr 28, 2014
- Last Updated
- Feb 16, 2015
Practice Location
- Address
- 250 PIERCE ST
- Address 2
- SUITE 103
- City
- Kingston
- State
- Pennsylvania
- ZIP Code
- 18704-5149
- Phone
- (570) 916-4897
Authorized Official
- Name
- DR. RICHARD E HUSKEY, MD
- Title
- PRESIDENT
- Phone
- (570) 916-4897
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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