Advanced Rehabilitation, P.c. | |
2305 Hylon Blvd., Staten Island, NY 10306 | |
(718) 667-0297 | |
(718) 667-1945 |
Full Name | Advanced Rehabilitation, P.c. |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 2305 Hylon Blvd., 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 |
---|---|---|---|
1275727158 | NPI | - | NPPES |
058402 | Other | NJ | MEDICARE PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 015531 (New York) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | 40QA01008700 (New Jersey) | Primary |
Provider Name | Julia Sapoff |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013934926 PECOS PAC ID: 6002807237 Enrollment ID: I20090714000669 |
Provider Name | Gyulnara Avshalumova |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1154435311 PECOS PAC ID: 3678744000 Enrollment ID: I20141111000358 |
Provider Name | Tanya Hankins |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205981560 PECOS PAC ID: 2769705839 Enrollment ID: I20141222000147 |
Provider Name | Natallia Hutman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043521396 PECOS PAC ID: 8527250570 Enrollment ID: I20170526000693 |
Mailing Address | Practice Location Address |
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Advanced Rehabilitation, P.c. 2305 Hylan Blvd., Staten Island, NY 10306 Ph: (718) 667-0297 | Advanced Rehabilitation, P.c. 2305 Hylon Blvd., Staten Island, NY 10306 Ph: (718) 667-0297 |