NPI 1568899300

Fitness Forum PT

Organisation Exclusive Provider Organization Syracuse, NY

Practice location

Address: 4994 W Seneca Tpke, Syracuse, NY 13215-2279
Phone: (315) 469-5990

Authorised official

Name: Adam L Shopiro
Title: Dpr
Phone: (315) 469-5990

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in New York →

Registry record

NPI: 1568899300
Entity type: Organization
NPI issued: 10 Oct 2013
Record last updated: 10 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.