Lauren Evangelista, | |
475 Northern Blvd Ste 19, Great Neck, NY 11021-4802 | |
(516) 829-0030 | |
Not Available |
Full Name | Lauren Evangelista |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 475 Northern Blvd Ste 19, Great Neck, 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 |
---|---|---|---|
1649043571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 028461 (New York) | Primary |
Provider Name | Montefiore Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
Provider Name | Reddy Care Physical And Occupational Therapy Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1477052967 PECOS PAC ID: 6103176987 Enrollment ID: O20180829003100 |
Mailing Address | Practice Location Address |
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Lauren Evangelista, 172 Wellington Rd, Garden City, NY 11530-1218 Ph: () - | Lauren Evangelista, 475 Northern Blvd Ste 19, Great Neck, NY 11021-4802 Ph: (516) 829-0030 |
Mark Guzman, OTR/L Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 475 Northern Blvd Ste 19, Great Neck, NY 11021 Phone: 516-829-0030 | |
Madeline E Sieber, Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 475 Northern Blvd Ste 19, Great Neck, NY 11021 Phone: 516-829-0030 Fax: 516-466-7723 | |
Grace Lisandrelli, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 475 Northern Blvd Ste 19, Great Neck, NY 11021 Phone: 516-829-0030 | |
Katherine Susan Bowles, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 475 Northern Blvd, Great Neck, NY 11021 Phone: 516-829-0030 | |
Catherine Chang, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 833 Northern Blvd Suite 235, Great Neck, NY 11021 Phone: 516-288-3400 Fax: 516-288-3410 | |
Regina Kakuriyeva, OTR/L Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 475 Northern Blvd Ste 19, Great Neck, NY 11021 Phone: 516-829-0030 Fax: 516-466-7723 | |
Rachel Ahdoot, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Fir Dr, Great Neck, NY 11024 Phone: 516-225-8905 |