Functional Health Incorporated | |
3130 Grand Concourse Ste 1e, Bronx, NY 10458-1263 | |
(212) 203-3201 | |
(718) 338-2695 |
Full Name | Functional Health Incorporated |
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Type | Facility |
Speciality | Occupational Therapist |
Location | 3130 Grand Concourse Ste 1e, Bronx, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023899002 | NPI | - | NPPES |
06841845 | Medicaid | NY | |
1083083539 | Other | NY | IND NPI |
Taxonomy | Type | License (State) | Status |
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225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Anthony Kahrl Isaac Bigornia |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1083083539 PECOS PAC ID: 5092110049 Enrollment ID: I20210830000861 |
Mailing Address | Practice Location Address |
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Functional Health Incorporated 8015 231st St, Queens Village, NY 11427-2107 Ph: (646) 236-6898 | Functional Health Incorporated 3130 Grand Concourse Ste 1e, Bronx, NY 10458-1263 Ph: (212) 203-3201 |
Mrs. Criselda Jose, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1780 Dr Martin Luther King Jr Blvd, Bronx, NY 10453 Phone: 718-960-4400 | |
Mrs. Sarah Jane Honorio Adriano-filatov, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1604 Edison Avenue Apt 2, Bronx, NY 10461 Phone: 347-221-4091 | |
Leonardo Elizalde, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 817 E 180th St, Bronx, NY 10460 Phone: 718-355-9652 Fax: 718-220-6263 | |
Brittany Michele Chandler, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 778 Forest Ave, Bronx, NY 10456 Phone: 718-665-5617 | |
Eliana Cutler, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 475 W 250th St, Bronx, NY 10471 Phone: 718-549-4753 | |
Ms. Robin Redenburg, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2838 Barkley Ave, Bronx, NY 10465 Phone: 718-791-6248 | |
Ronen Samuels, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3053 Henry Hudson Pkwy, Bronx, NY 10463 Phone: 917-574-8341 |