Mr Jacek Marian Wiczynski, OTR/L | |
161 Cedar Ln, Babylon, NY 11702-4318 | |
(631) 650-1849 | |
Not Available |
Full Name | Mr Jacek Marian Wiczynski |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 22 Years |
Location | 161 Cedar Ln, Babylon, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477729010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 012200-1 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Energize Home Physical Therapy Pllc | 8426319161 | 6 |
Provider Name | Energize Home Physical Therapy Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1356849491 PECOS PAC ID: 8426319161 Enrollment ID: O20180221000988 |
Mailing Address | Practice Location Address |
---|---|
Mr Jacek Marian Wiczynski, OTR/L 161 Cedar Ln, Babylon, NY 11702-4318 Ph: (516) 607-3334 | Mr Jacek Marian Wiczynski, OTR/L 161 Cedar Ln, Babylon, NY 11702-4318 Ph: (631) 650-1849 |
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