Provider Demographics
NPI:1538938782
Name:JUDITH M ROSINSKI, P.T.
Entity type:Organization
Organization Name:JUDITH M ROSINSKI, P.T.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROSINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:315-736-0298
Mailing Address - Street 1:PO BOX 236
Mailing Address - Street 2:
Mailing Address - City:NEW YORK MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:13417-0236
Mailing Address - Country:US
Mailing Address - Phone:315-736-0298
Mailing Address - Fax:315-736-0298
Practice Address - Street 1:170 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW YORK MILLS
Practice Address - State:NY
Practice Address - Zip Code:13417-1125
Practice Address - Country:US
Practice Address - Phone:315-736-0298
Practice Address - Fax:315-736-0298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy