| Avantgarde Rehabilitation Limited Liability Company | |
|
520 Bloomingdale Rd, Staten Island, NY 10309-2061 | |
| (718) 605-1300 | |
| (718) 605-8739 |
| Full Name | Avantgarde Rehabilitation Limited Liability Company |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 520 Bloomingdale Rd, Staten Island, 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 |
|---|---|---|---|
| 1881937423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 8002032 (New York) | Primary |
| Provider Name | Charmaine C Tiu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902064959 PECOS PAC ID: 0244301901 Enrollment ID: I20080624000423 |
| Provider Name | Jessie Ganon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447497987 PECOS PAC ID: 2860558020 Enrollment ID: I20090313000085 |
| Provider Name | Viktoriya Khomenko |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104160464 PECOS PAC ID: 6406099084 Enrollment ID: I20130911000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Avantgarde Rehabilitation Limited Liability Company 8 Bur Ct, Manalapan, NJ 07726-1878 Ph: (732) 677-2260 | Avantgarde Rehabilitation Limited Liability Company 520 Bloomingdale Rd, Staten Island, NY 10309-2061 Ph: (718) 605-1300 |
Mr. Mohamed Ali Sadeia, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 49 Woodcrest Rd, Staten Island, NY 10303 Phone: 718-698-8487 Fax: 718-698-8487 | |
Staten Island Hands On Physical Therapy Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 153 Cannon Ave, Staten Island, NY 10314 Phone: 718-690-4238 | |
Dr. Anthony Yorio Jr., DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 406 Retford Ave, Staten Island, NY 10312 Phone: 718-967-0132 | |
Ms. Alexandra Castris, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 962 Manor Rd, Staten Island, NY 10314 Phone: 718-982-5944 | |
Myocare Pt P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 87 Atlantic Ave, Staten Island, NY 10304 Phone: 929-485-6000 Fax: 929-210-7000 | |
Jeeno Joseph, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1415 Richmond Ave, Staten Island, NY 10314 Phone: 877-407-3422 Fax: 877-407-4329 | |
Joy Murphy, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1415 Richmond Ave, Staten Island, NY 10314 Phone: 877-407-3422 Fax: 877-407-4329 |