| Brielle Theresa Mcgullam, | |
|
85 W Main St Ste 202, Bay Shore, NY 11706-8345 | |
| (631) 206-3130 | |
| Not Available |
| Full Name | Brielle Theresa Mcgullam |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 85 W Main St Ste 202, Bay Shore, 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 |
|---|---|---|---|
| 1013731363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Professional Occupational & Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1205296902 PECOS PAC ID: 3779873401 Enrollment ID: O20160608000715 |
| Mailing Address | Practice Location Address |
|---|---|
| Brielle Theresa Mcgullam, 576 Broadhollow Rd, Melville, NY 11747-5002 Ph: (631) 359-5859 | Brielle Theresa Mcgullam, 85 W Main St Ste 202, Bay Shore, NY 11706-8345 Ph: (631) 206-3130 |
Andrea Passannante, OT, OTR/L, CDIS Occupational Therapist Medicare: Medicare Enrolled Practice Location: 301 E Main St, Bay Shore, NY 11706 Phone: 631-968-3400 | |
Alyssa Verron, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Perkal St, Bay Shore, NY 11706 Phone: 631-968-1252 | |
Mrs. Susan L Gouldson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1428 5th Avenue, Bay Shore, NY 11706 Phone: 631-665-1900 | |
Lindsey Elizabeth Kertland, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1428 5th Ave, Bay Shore, NY 11706 Phone: 631-665-1900 | |
Danielle Hartnett, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 85 W Main St Ste 202, Bay Shore, NY 11706 Phone: 631-206-3130 Fax: 631-206-3148 | |
Miss Nicole Kathryn Maseroni, MS OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1428 5th Ave, Bay Shore, NY 11706 Phone: 631-665-1900 |