Provider Demographics
NPI:1528084969
Name:MADDEN & GSCHWIND BRAMAN, PT, PC
Entity type:Organization
Organization Name:MADDEN & GSCHWIND BRAMAN, PT, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:GSCHWIND
Authorized Official - Last Name:BRAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT, OCS
Authorized Official - Phone:315-793-1878
Mailing Address - Street 1:PO BOX 576
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-0576
Mailing Address - Country:US
Mailing Address - Phone:315-793-1878
Mailing Address - Fax:315-793-1868
Practice Address - Street 1:104 NEW HARTFORD SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-1618
Practice Address - Country:US
Practice Address - Phone:315-793-1878
Practice Address - Fax:315-793-1868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012953-1261QP2000X, 261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRA8442Medicare ID - Type UnspecifiedANTONINA M. CASAMENTO
NYRA8412Medicare ID - Type UnspecifiedJUDITH G. BRAMAN
NY5586460001Medicare NSC
NYRA8411Medicare ID - Type UnspecifiedTIMOTHY J. MADDEN
NYBA0679Medicare ID - Type UnspecifiedGROUP NUMBER