Provider Demographics
NPI:1790151801
Name:OSINSKI, ALEK (RPT)
Entity Type:Individual
Prefix:
First Name:ALEK
Middle Name:
Last Name:OSINSKI
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6581 BROOK RD APT D
Mailing Address - Street 2:
Mailing Address - City:TRUMANSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14886-9639
Mailing Address - Country:US
Mailing Address - Phone:716-861-1122
Mailing Address - Fax:
Practice Address - Street 1:6581 BROOK RD APT D
Practice Address - Street 2:
Practice Address - City:TRUMANSBURG
Practice Address - State:NY
Practice Address - Zip Code:14886-9639
Practice Address - Country:US
Practice Address - Phone:716-861-1122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029757-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist