Courtney Miele-moran, | |
80 Route 6 Unit 701, Baldwin Place, NY 10505-1034 | |
(845) 875-0500 | |
Not Available |
Full Name | Courtney Miele-moran |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 80 Route 6 Unit 701, Baldwin Place, 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 |
---|---|---|---|
1205400371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 025609 (New York) | Primary |
Provider Name | Ivyrehab Physical Therapy Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396799409 PECOS PAC ID: 7012997638 Enrollment ID: O20040723000705 |
Mailing Address | Practice Location Address |
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Courtney Miele-moran, 80 Route 6 Unit 701, Baldwin Place, NY 10505-1034 Ph: (845) 875-0500 | Courtney Miele-moran, 80 Route 6 Unit 701, Baldwin Place, NY 10505-1034 Ph: (845) 875-0500 |
Theresa Butti, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 80 Route 6 Unit 701702, Baldwin Place, NY 10505 Phone: 845-875-0500 | |
Alexis Hannah Goldstein, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Route 6 Unit 701702, Baldwin Place, NY 10505 Phone: 845-875-0500 | |
Meagan Kobielski, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Route 6 Unit 701702, Baldwin Place, NY 10505 Phone: 845-875-0500 | |
Nicole Derobertis, DPT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Route 6 Unit 701702, Baldwin Place, NY 10505 Phone: 845-875-0500 |