| Provider Rehab, Ot. P.c. | |
|
288 Sand Ln Ste 1, Staten Island, NY 10305-4512 | |
| (347) 766-9077 | |
| Not Available |
| Full Name | Provider Rehab, Ot. P.c. |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 288 Sand Ln Ste 1, Staten Island, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205294691 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 63018851 (New York) | Primary |
| Provider Name | Vyacheslav Glukh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447689179 PECOS PAC ID: 5395960405 Enrollment ID: I20140703001479 |
| Provider Name | Jason Sarzosa |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144623695 PECOS PAC ID: 6608098645 Enrollment ID: I20141107000291 |
| Provider Name | Dmitry Shevchenko |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578974473 PECOS PAC ID: 8921305392 Enrollment ID: I20160330000625 |
| Provider Name | Alejandra Montejo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376091835 PECOS PAC ID: 2163706136 Enrollment ID: I20170313000836 |
| Provider Name | Judy Lin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477887263 PECOS PAC ID: 2365877529 Enrollment ID: I20200115002569 |
| Provider Name | Heidi Richter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265071625 PECOS PAC ID: 0244666576 Enrollment ID: I20200205001990 |
| Provider Name | Mikhail Ilyasov |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780260018 PECOS PAC ID: 2769890524 Enrollment ID: I20210415000284 |
| Mailing Address | Practice Location Address |
|---|---|
| Provider Rehab, Ot. P.c. 3030 Emmons Ave Apt 5t, Brooklyn, NY 11235-2228 Ph: (347) 766-9077 | Provider Rehab, Ot. P.c. 288 Sand Ln Ste 1, Staten Island, NY 10305-4512 Ph: (347) 766-9077 |
Janine Marie Serdaros, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Chandler Ave, Staten Island, NY 10314 Phone: 718-273-3893 | |
Irina Kushnirskaya, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 214 Sycamore St, Staten Island, NY 10312 Phone: 718-966-2613 | |
Tashawna Ferguson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 Lindenwood Road, Staten Island, NY 10308 Phone: 718-356-2800 | |
Racheal Ojo, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 243 Gordon St # 2, Staten Island, NY 10304 Phone: 646-245-0547 | |
Michele Rosenfeld, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3391 Richmond Ave, Staten Island, NY 10312 Phone: 718-608-9710 | |
Rashel Spivak, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 441 Harold Ave, Staten Island, NY 10312 Phone: 347-403-4897 | |
Stephanie M Powers, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 475 Seaview Ave, Staten Island, NY 10305 Phone: 718-226-9466 |