Nicole Renee Mallicoat, DPT | |
7455 Morgan Rd, Liverpool, NY 13090-3956 | |
(315) 469-5400 | |
Not Available |
Full Name | Nicole Renee Mallicoat |
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Gender | Female |
Speciality | Physical Medicine & Rehabilitation |
Location | 7455 Morgan Rd, Liverpool, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1528841293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208100000X | Physical Medicine & Rehabilitation | 050736 (New York) | Primary |
Entity Name | Sports Physical Therapy Of New York, P.c. |
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Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Entity Identifiers | NPI Number: 1912950072 PECOS PAC ID: 4284531674 Enrollment ID: O20150203001143 |
Mailing Address | Practice Location Address |
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Nicole Renee Mallicoat, DPT 3869 Condor Cir, Liverpool, NY 13090-1008 Ph: (303) 350-7838 | Nicole Renee Mallicoat, DPT 7455 Morgan Rd, Liverpool, NY 13090-3956 Ph: (315) 469-5400 |
Dr. Denny J Battista, D.O. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7449 Morgan Rd, Liverpool, NY 13090 Phone: 315-451-5400 | |
Dr. Daniel L Mendez, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7449 Morgan Rd, Liverpool, NY 13090 Phone: 315-451-5400 Fax: 315-451-5422 | |
Martin Schaeffer, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 7449 Morgan Rd, Liverpool, NY 13090 Phone: 315-451-5400 Fax: 315-451-5422 |