Jaleesa Thelma Lucas, MS, OTR/L | |
31 Kinnebrook, Harris, NY 12742-2204 | |
(845) 707-6012 | |
Not Available |
Full Name | Jaleesa Thelma Lucas |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 31 Kinnebrook, Harris, 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 |
---|---|---|---|
1053963264 | NPI | - | NPPES |
1484 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 023724 (New York) | Primary |
Provider Name | The Center For Discovery Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275624694 PECOS PAC ID: 1557250933 Enrollment ID: O20040312001247 |
Mailing Address | Practice Location Address |
---|---|
Jaleesa Thelma Lucas, MS, OTR/L 574 Greenville Tpke, Middletown, NY 10940 Ph: (914) 844-1906 | Jaleesa Thelma Lucas, MS, OTR/L 31 Kinnebrook, Harris, NY 12742-2204 Ph: (845) 707-6012 |
Jessica Lee Piatak, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 840 Benmosche Road, The Center For Discovery, Harris, NY 12742 Phone: 845-794-1400 Fax: 845-794-8909 | |
Sarah Wagner, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 840 Benmosche Rd., Harris, NY 12742 Phone: 845-749-1400 | |
Jean Atlas Blevins, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 31 Kinnebrook Rd, Harris, NY 12742 Phone: 845-794-1400 | |
Camryn Johhson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 141 Benmosche Rd, Harris, NY 12701 Phone: 845-794-1400 | |
Helen Mia Newman, O.T.R Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14 Harris Bushville Rd, Harris, NY 12742 Phone: 845-794-0209 Fax: 845-794-0716 | |
Amy Zalacca, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 840 Benmosche Rd, Harris, NY 12742 Phone: 845-794-1400 |