Thara Kristelle Enerio, PT is a
Physical Medicine & Rehabilitation physician based in Glen Oaks, New York. Thara Kristelle Enerio is licensed to practice in New York (license number 043504-1) and her current practice location is 26717 Hillside Ave, Glen Oaks, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 343-2121.
NPI number for Thara Kristelle Enerio is 1003419896 and her current mailing address is 3433 62nd St, Woodside, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003419896.
Physician's Profile
Full Name | Thara Kristelle Enerio |
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Gender | Female |
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Speciality | Physical Medicine & Rehabilitation |
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Location | 26717 Hillside Ave, Glen Oaks, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003419896
- Provider Enumeration Date: 11/16/2020
- Last Update Date: 11/16/2020
Medical Identifiers
Medical identifiers for Thara Kristelle Enerio such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003419896 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208100000X | Physical Medicine & Rehabilitation | 043504-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thara Kristelle Enerio is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Thara Kristelle Enerio, PT 3433 62nd St, Woodside, NY 11377-2147 Ph: (908) 416-3155 | Thara Kristelle Enerio, PT 26717 Hillside Ave, Glen Oaks, NY 11004-1743 Ph: (718) 343-2121 |
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