Marie Lyani Nicandro, OTR/L | |
77 Schanck Rd Ste B-17, Freehold, NJ 07728-2964 | |
(732) 414-6060 | |
Not Available |
Full Name | Marie Lyani Nicandro |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 77 Schanck Rd Ste B-17, Freehold, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023706322 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 46TR01122000 (New Jersey) | Primary |
Provider Name | Garden State Spine And Rehabilitation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1780282269 PECOS PAC ID: 0143631283 Enrollment ID: O20201123000412 |
Mailing Address | Practice Location Address |
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Marie Lyani Nicandro, OTR/L 77 Schanck Rd Ste B-17, Freehold, NJ 07728-2964 Ph: () - | Marie Lyani Nicandro, OTR/L 77 Schanck Rd Ste B-17, Freehold, NJ 07728-2964 Ph: (732) 414-6060 |
Dianne S Gue, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: West Main Street, Freehold, NJ 07728 Phone: 732-303-5067 | |
Mr. Gregg P Taylor, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 5 Mohegan Rd, Freehold, NJ 07728 Phone: 732-409-7427 | |
Christopher Yang, DROT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 14 Chatham Ridge Dr, Freehold, NJ 07728 Phone: 732-272-3456 | |
Gabrielle Yosuico, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 77 Schanck Rd Ste B-17, Freehold, NJ 07728 Phone: 732-414-6060 | |
Alexandra Sacco, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 210 Mounts Corner Dr, Freehold, NJ 07728 Phone: 732-414-2700 | |
Jessica Suzanne Kenny, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 689 W Main St, Freehold, NJ 07728 Phone: 732-431-5200 |