Annelise Modica, PT DPT | |
3767 Delaware Ave, Buffalo, NY 14217-1040 | |
(716) 874-6175 | |
(716) 874-6175 |
Full Name | Annelise Modica |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 3767 Delaware Ave, Buffalo, 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 |
---|---|---|---|
1811539315 | NPI | - | NPPES |
05909820 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 044925 (New York) | Primary |
Provider Name | Buffalo Rehab Group Physical Therapy And Occupational Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1548290943 PECOS PAC ID: 1355232596 Enrollment ID: O20040324001331 |
Mailing Address | Practice Location Address |
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Annelise Modica, PT DPT 3767 Delaware Ave, Buffalo, NY 14217-1040 Ph: (716) 874-6175 | Annelise Modica, PT DPT 3767 Delaware Ave, Buffalo, NY 14217-1040 Ph: (716) 874-6175 |
David May, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 2157 Main St, Buffalo, NY 14214 Phone: 716-862-1170 Fax: 716-862-1569 | |
Toni Caruso, Physical Therapist Medicare: Medicare Enrolled Practice Location: 56 Angela Ln, Buffalo, NY 14225 Phone: 716-880-5707 | |
Mr. Kenneth A Munch, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3495 Bailey Ave, Buffalo, NY 14215 Phone: 716-862-8661 | |
Kimberly Ann Schillace, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2128 Elmwood Ave, Buffalo, NY 14207 Phone: 716-874-4500 Fax: 716-874-3195 | |
Mrs. Joann J Schellati, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-898-3224 Fax: 716-898-3259 | |
Patricia Mott, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 925 Delaware Ave Apt 1a, Buffalo, NY 14209 Phone: 716-316-9433 | |
Mr. Wilson I Lebita, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 191 North St Ste 8, Buffalo, NY 14201 Phone: 716-882-6000 Fax: 716-882-6310 |