Angelene Belle Dimaano, | |
2075 Sheridan Dr Ste D, Kenmore, NY 14223-1425 | |
(716) 803-8220 | |
Not Available |
Full Name | Angelene Belle Dimaano |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2075 Sheridan Dr Ste D, Kenmore, 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 |
---|---|---|---|
1093440919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 37491 (Florida) | Secondary |
225100000X | Physical Therapist | 051245 (New York) | Primary |
Provider Name | Lifelong Wellness Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1083360382 PECOS PAC ID: 0244611580 Enrollment ID: O20220719000663 |
Mailing Address | Practice Location Address |
---|---|
Angelene Belle Dimaano, 114 Bonnett Ave, Tonawanda, NY 14150-6846 Ph: (914) 882-9480 | Angelene Belle Dimaano, 2075 Sheridan Dr Ste D, Kenmore, NY 14223-1425 Ph: (716) 803-8220 |
Sharon Karnyski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 Delaware Avenu, Kenmore, NY 14217 Phone: 716-871-9883 Fax: 716-871-9887 | |
Megan Overlan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3767 Delaware Ave, Kenmore, NY 14217 Phone: 716-874-6175 | |
Amanda Schoenthal-martin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3767 Delaware Ave, Kenmore, NY 14217 Phone: 716-874-6175 | |
Marissa Dalio, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3767 Delaware Ave, Kenmore, NY 14217 Phone: 716-874-6175 | |
Shannon Wrona, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3767 Delaware Ave, Kenmore, NY 14217 Phone: 716-874-6175 | |
Sarah Kociszewski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2900 Delaware Ave, Kenmore, NY 14217 Phone: 716-871-9883 | |
Christine Woodrick, PT DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2760 Delaware Ave, Kenmore, NY 14217 Phone: 716-423-2262 Fax: 716-423-2263 |