Ag Pt Wellness Pllc | |
6009 Myrtle Ave, Ridgewood, NY 11385-5933 | |
(347) 472-1835 | |
(347) 472-1838 |
Full Name | Ag Pt Wellness Pllc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 6009 Myrtle Ave, Ridgewood, 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 |
---|---|---|---|
1598459182 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Adam T Gazdzinski |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1124236336 PECOS PAC ID: 2062568397 Enrollment ID: I20140626000013 |
Provider Name | Charmaine Jimenez Garcia |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1821794777 PECOS PAC ID: 4587017470 Enrollment ID: I20240126002561 |
Mailing Address | Practice Location Address |
---|---|
Ag Pt Wellness Pllc 6009 Myrtle Ave, Ridgewood, NY 11385-5933 Ph: (347) 472-1835 | Ag Pt Wellness Pllc 6009 Myrtle Ave, Ridgewood, NY 11385-5933 Ph: (347) 472-1835 |
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