Provider Demographics
NPI:1801957410
Name:MCGEE, MICHAEL P (PT)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:P
Last Name:MCGEE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:240 W SENECA ST
Mailing Address - Street 2:SUITE8
Mailing Address - City:MANLIUS
Mailing Address - State:NY
Mailing Address - Zip Code:13104-3401
Mailing Address - Country:US
Mailing Address - Phone:315-682-0325
Mailing Address - Fax:315-682-0295
Practice Address - Street 1:240 W SENECA ST
Practice Address - Street 2:SUITE8
Practice Address - City:MANLIUS
Practice Address - State:NY
Practice Address - Zip Code:13104-3401
Practice Address - Country:US
Practice Address - Phone:315-682-0325
Practice Address - Fax:315-682-0295
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2012-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY014015225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY161496139OtherBCBS
NY650015177OtherRAILROAD MEDICARE
NY6601770OtherGHI
NY435634OtherMVP
NY112300400OtherUS DEPT LABOR
NY650015177OtherRAILROAD MEDICARE