| Deer Park Ptdc | |
|
2103 Deer Park Ave, Deer Park, NY 11729-1319 | |
| (631) 242-4500 | |
| (631) 242-0885 |
| Full Name | Deer Park Ptdc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 2103 Deer Park Ave, Deer Park, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508251612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 004766 (New York) | Secondary |
| 225100000X | Physical Therapist | 004142 (New York) | Primary |
| Provider Name | Michael S Rosenhouse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588871222 PECOS PAC ID: 4688841141 Enrollment ID: I20120124000662 |
| Provider Name | Jack J Tesoriero |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1871580282 PECOS PAC ID: 4082916622 Enrollment ID: I20160113001942 |
| Mailing Address | Practice Location Address |
|---|---|
| Deer Park Ptdc 2103 Deer Park Ave, Deer Park, NY 11729-1319 Ph: (631) 242-4500 | Deer Park Ptdc 2103 Deer Park Ave, Deer Park, NY 11729-1319 Ph: (631) 242-4500 |
South Shore Integrated Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 718 Long Island Ave, Deer Park, NY 11729 Phone: 631-242-1818 Fax: 631-242-1506 | |
John Mancini, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 375 Commack Rd, Ste B, Deer Park, NY 11729 Phone: 631-522-1955 Fax: 631-522-1957 | |
Robert Gaied, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 46 Suburban Ave, Deer Park, NY 11729 Phone: 347-552-9092 | |
Robert Gaied Physical Therapy Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 46 Suburban Ave, Deer Park, NY 11729 Phone: 347-552-9092 | |
Thomas Steven Page, M.S.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 505 Grand Blvd, Suite 4, Deer Park, NY 11729 Phone: 631-940-9800 Fax: 631-940-9801 | |
Mrs. Joan Therese Mackey, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 590 Nicolls Road, Deer Park, NY 11729 Phone: 631-254-4945 Fax: 631-254-4945 | |
Paragon Physical Therapy, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 2100 Deer Park Ave, Ste 5, Deer Park, NY 11729 Phone: 631-242-9200 Fax: 631-242-9202 |