Provider Demographics
NPI:1225549801
Name:SYNERGY TRUMANSBURG PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:SYNERGY TRUMANSBURG PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:607-213-3300
Mailing Address - Street 1:506 HUDSON ST
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-5750
Mailing Address - Country:US
Mailing Address - Phone:607-342-2333
Mailing Address - Fax:
Practice Address - Street 1:203 E MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:TRUMANSBURG
Practice Address - State:NY
Practice Address - Zip Code:14886-8908
Practice Address - Country:US
Practice Address - Phone:607-213-3300
Practice Address - Fax:607-213-3300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy