| Gabriella Fuentes, | |
|
77 N Centre Ave Ste 215, Rockville Centre, NY 11570-3923 | |
| (631) 910-7541 | |
| Not Available |
| Full Name | Gabriella Fuentes |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 77 N Centre Ave Ste 215, Rockville Centre, 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 |
|---|---|---|---|
| 1912771809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 028418 (New York) | Primary |
| Provider Name | Metro Physical Occupational And Speech Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1356742365 PECOS PAC ID: 1254553639 Enrollment ID: O20141120000039 |
| Mailing Address | Practice Location Address |
|---|---|
| Gabriella Fuentes, 194 W 21st St, Huntington Station, NY 11746-2122 Ph: (631) 896-3670 | Gabriella Fuentes, 77 N Centre Ave Ste 215, Rockville Centre, NY 11570-3923 Ph: (631) 910-7541 |
Miss Stephanie Anna Bonavita, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 N Centre Ave Ste 215, Rockville Centre, NY 11570 Phone: 631-363-5794 | |
Adam J Samuels, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 265 Sunrise Hwy # 121, Rockville Centre, NY 11570 Phone: 516-728-7937 | |
Mrs. Jill Mara Liebman, O.T.R. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 128 Shepherd St, Rockville Centre, NY 11570 Phone: 516-255-8928 | |
Nicole Anita Maguire, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Banks Ave Apt 1321, Rockville Centre, NY 11570 Phone: 516-662-5171 | |
Mr. Richard James Scalise, OTR, CHT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 176 N Village Ave, Suite 2c, Rockville Centre, NY 11570 Phone: 516-255-4263 Fax: 516-255-4050 | |
Tiara Miller, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 North Village Avenue, Rockville Centre, NY 11570 Phone: 516-705-2525 | |
Professional Occupational & Physical Therapy, Pllc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 N Village Ave Ste 127, Rockville Centre, NY 11570 Phone: 516-418-8972 Fax: 516-418-8976 |