Mohawk Valley Physical Medicine and Rehab

NPI #1720051428 in Amsterdam, New York

Provider Information

NPI Number
1720051428
Entity Type
Organization
Organization Name
Mohawk Valley Physical Medicine and Rehab
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
Feb 12, 2006
Last Updated
Mar 7, 2013

Practice Location

Address
4988 STATE HIGHWAY 30
Address 2
ST. MARY'S HOSPITAL MEMORIAL CAMPUS
ZIP Code
12010-7520
Phone
(518) 841-3481

Authorized Official

Name
DR. JOHN LEWIS FEDULLO, D. O.
Title
PRESIDENT
Phone
(518) 841-3481

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation

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