Mrs Thresiakutty Vincent Thanchan, is a
Physical Therapist based in Newburgh, New York. Mrs Thresiakutty Vincent Thanchan is licensed to practice in New York (license number 031123-1) and her current practice location is
41 Ramblewood Dr, Newburgh, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 201-0098.
NPI number for Mrs Thresiakutty Vincent Thanchan is 1962692087 and her current mailing address is 41 Ramblewood Dr, Newburgh, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962692087.
Provider's Profile
| Full Name | Mrs Thresiakutty Vincent Thanchan |
|---|
| Gender | Female |
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| Speciality | Physical Therapist |
|---|
| Location | 41 Ramblewood Dr, Newburgh, 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: 1962692087
- Provider Enumeration Date: 07/25/2007
- Last Update Date: 11/05/2014
Medical Identifiers
Medical identifiers for Mrs Thresiakutty Vincent Thanchan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962692087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 490848 (New York) | Secondary |
| 225100000X | Physical Therapist | 031123-1 (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. Mrs Thresiakutty Vincent Thanchan 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 |
|---|
Mrs Thresiakutty Vincent Thanchan,
41 Ramblewood Dr,
Newburgh, NY 12550-8790
Ph: (845) 201-0098 | Mrs Thresiakutty Vincent Thanchan,
41 Ramblewood Dr,
Newburgh, NY 12550-8790
Ph: (845) 201-0098 |
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