Alain Nicolasora De Vera, | |
3230 Church St, Valatie, NY 12184-2303 | |
(518) 758-6222 | |
Not Available |
Full Name | Alain Nicolasora De Vera |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3230 Church St, Valatie, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659141364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 045657-01 (New York) | Primary |
Provider Name | Anchor Health Homecare Services Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1356071237 PECOS PAC ID: 2163802570 Enrollment ID: O20220701001011 |
Mailing Address | Practice Location Address |
---|---|
Alain Nicolasora De Vera, 11 Memory Ln Apt 11, Valatie, NY 12184-3342 Ph: (929) 944-3055 | Alain Nicolasora De Vera, 3230 Church St, Valatie, NY 12184-2303 Ph: (518) 758-6222 |
Erica Jean Yap, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3230 Church St, Valatie, NY 12184 Phone: 518-758-6222 | |
Carolyn Becker, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2827 Route 9, Grand Union Plaza, Valatie, NY 12184 Phone: 518-758-7616 | |
Lynshay Anne Lagrimas Macias, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3230 Church St, Valatie, NY 12184 Phone: 518-758-6222 | |
Lydia A Repnoy, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2827 Route 9, Valatie, NY 12184 Phone: 518-758-7616 Fax: 518-758-7557 | |
Ms. Demerise Danielle Marshall, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2880 Us Highway 9 Ste 1, Valatie, NY 12184 Phone: 518-758-6070 | |
Stefanie L Ryan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2827 Us Highway 9, Ocean State Job Lots Plaza, Valatie, NY 12184 Phone: 518-758-7616 |