Alice J Bai, | |
15049 27th Ave, Flushing, NY 11354-1540 | |
(347) 542-9142 | |
Not Available |
Full Name | Alice J Bai |
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Gender | Female |
Speciality | Physical Therapist |
Location | 15049 27th Ave, Flushing, 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 |
---|---|---|---|
1861778847 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 034183-1 (New York) | Primary |
Provider Name | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603 |
Mailing Address | Practice Location Address |
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Alice J Bai, 15049 27th Ave, Flushing, NY 11354-1540 Ph: (347) 542-9142 | Alice J Bai, 15049 27th Ave, Flushing, NY 11354-1540 Ph: (347) 542-9142 |
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