Brian Mustico, MS OTR/L | |
512 West Clinton Street, Apartment B, Elmira, NY 14901 | |
(607) 235-1769 | |
Not Available |
Full Name | Brian Mustico |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 512 West Clinton Street, Elmira, 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 |
---|---|---|---|
1144594946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 0165851 (New York) | Primary |
Provider Name | Legacy Healthcare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1871132357 PECOS PAC ID: 2163339722 Enrollment ID: O20170201001261 |
Mailing Address | Practice Location Address |
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Brian Mustico, MS OTR/L 512 W Clinton St, Apt B, Elmira, NY 14901-2444 Ph: () - | Brian Mustico, MS OTR/L 512 West Clinton Street, Apartment B, Elmira, NY 14901 Ph: (607) 235-1769 |
Joshua Scott Tryon, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 Saint Josephs Blvd, Elmira, NY 14901 Phone: 607-737-7804 | |
Ms. Margaret A Kieffer, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 Carpenter Rd, Apt 1a, Elmira, NY 14903 Phone: 607-562-7645 | |
Shelly Anne Rozell, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 602 Ivy St, Elmira, NY 14905 Phone: 607-737-4131 | |
Jaclyn Perkins, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 Saint Josephs Blvd, Elmira, NY 14901 Phone: 607-733-6541 | |
Mrs. Karen Elizabeth Coulter, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 555 Saint Josephs Blvd, Elmira, NY 14901 Phone: 607-733-6541 | |
Megan T Cacciaglia, MS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 103 Washington St, Elmira, NY 14901 Phone: 607-737-2001 | |
Leslie M Brewer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 819 W 2nd St, Elmira, NY 14905 Phone: 607-742-8083 |