Mr Ryan Alexander Doherty, | |
94 W Main St, Bay Shore, NY 11706-8365 | |
(631) 983-3724 | |
(631) 223-4765 |
Full Name | Mr Ryan Alexander Doherty |
---|---|
Gender | Male |
Speciality | Occupational Therapy |
Experience | 3 Years |
Location | 94 W Main St, Bay Shore, 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 |
---|---|---|---|
1861135139 | NPI | - | NPPES |
026682 | Other | NY | NEW YORK STATE OFFICE OF THE PROFESSIONS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 026682 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Professional Occupational And Physical Therapy Pllc | 3779873401 | 442 |
Provider Name | Professional Occupational & Physical Therapy Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205296902 PECOS PAC ID: 3779873401 Enrollment ID: O20160608000715 |
Mailing Address | Practice Location Address |
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Mr Ryan Alexander Doherty, 576 Broadhollow Rd, Melville, NY 11747-5002 Ph: (631) 359-5859 | Mr Ryan Alexander Doherty, 94 W Main St, Bay Shore, NY 11706-8365 Ph: (631) 983-3724 |
Andrea Passannante, OT, OTR/L, CDIS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3400 | |
Alyssa Verron, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Perkal St, Bay Shore, NY 11706 Phone: 631-968-1252 | |
Mrs. Susan L Gouldson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1428 5th Avenue, Bay Shore, NY 11706 Phone: 631-665-1900 | |
Lindsey Elizabeth Kertland, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1428 5th Ave, Bay Shore, NY 11706 Phone: 631-665-1900 | |
Danielle Hartnett, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 W Main St Ste 202, Bay Shore, NY 11706 Phone: 631-206-3130 Fax: 631-206-3148 | |
Miss Nicole Kathryn Maseroni, MS OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1428 5th Ave, Bay Shore, NY 11706 Phone: 631-665-1900 | |
Mr. Michael James Flynn, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1432 Brooklyn Blvd, Bay Shore, NY 11706 Phone: 631-647-4727 |