Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mohawk Valley Physical Medicine and Rehab

Organization Physical Medicine & Rehabilitation Physician · NPI 1720051428

Mohawk Valley Physical Medicine and Rehab is a Physical Medicine & Rehabilitation Physician in Amsterdam, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006

Practice location Address checks out

4988 State Highway 30 St Mary's Hospital Memorial Campus
Amsterdam, NY 12010-7520
Phone: (518) 841-3481
Fax: (518) 841-3481
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 197917 (NY)

Record details

NPI number1720051428
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Fedullo — President · (518) 841-3481
NPI enumeratedFebruary 12, 2006
Last updated in NPPESMarch 7, 2013
Mailing address4988 State Highway 30, Amsterdam, NY 12010-7520

Other providers in Amsterdam