Provider Demographics
NPI:1033312053
Name:GARY G PARKER JR PHYSICAL THERAPY PC
Entity Type:Organization
Organization Name:GARY G PARKER JR PHYSICAL THERAPY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-656-4464
Mailing Address - Street 1:33 N CHENANGO ST
Mailing Address - Street 2:
Mailing Address - City:GREENE
Mailing Address - State:NY
Mailing Address - Zip Code:13778-1134
Mailing Address - Country:US
Mailing Address - Phone:607-656-4464
Mailing Address - Fax:607-656-4593
Practice Address - Street 1:33 N CHENANGO ST
Practice Address - Street 2:
Practice Address - City:GREENE
Practice Address - State:NY
Practice Address - Zip Code:13778-1134
Practice Address - Country:US
Practice Address - Phone:607-656-4464
Practice Address - Fax:607-656-4593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty