| |
18 Willowood Ct, Westhampton, NY 11977-1012 | |
(917) 846-4907 | |
(631) 614-4077 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 18 Willowood Ct, Westhampton, 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 |
---|---|---|---|
1255971479 | NPI | - | NPPES |
013912-1 | Other | NY | NYS DEPARTMENT OF EDUCATION |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Dana J Geller |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568431609 PECOS PAC ID: 0749218469 Enrollment ID: I20050802001390 |
Mailing Address | Practice Location Address |
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18 Willowood Ct, Westhampton, NY 11977-1012 Ph: (917) 846-4907 | 18 Willowood Ct, Westhampton, NY 11977-1012 Ph: (917) 846-4907 |