Provider Demographics
NPI:1962515700
Name:EMI PHYSIATRY
Entity type:Organization
Organization Name:EMI PHYSIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:J
Authorized Official - Last Name:TRANCHITELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-764-4781
Mailing Address - Street 1:1600 SIXTH AVENUE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403
Mailing Address - Country:US
Mailing Address - Phone:717-764-4781
Mailing Address - Fax:717-764-9572
Practice Address - Street 1:1600 SIXTH AVENUE
Practice Address - Street 2:SUITE 102
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403
Practice Address - Country:US
Practice Address - Phone:717-764-4781
Practice Address - Fax:717-764-9572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD046680L208100000X
PAMD048355L208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty