Cosmopolitan Physical Therapy P.c. | |
3751 75th St, Jackson Hts, NY 11372-6422 | |
(718) 424-9899 | |
(718) 424-8702 |
Full Name | Cosmopolitan Physical Therapy P.c. |
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Type | Facility |
Speciality | Physical Therapist |
Location | 3751 75th St, Jackson Hts, 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 |
---|---|---|---|
1457710642 | NPI | - | NPPES |
03397784 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 031641 (New York) | Primary |
Provider Name | Mary Jane Vilchez |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1942441837 PECOS PAC ID: 6103972617 Enrollment ID: I20090925000114 |
Provider Name | Sherwin C Paller |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1053609156 PECOS PAC ID: 7416121728 Enrollment ID: I20111123000378 |
Provider Name | Ives Hernandez |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1801563614 PECOS PAC ID: 0840689857 Enrollment ID: I20211112001789 |
Mailing Address | Practice Location Address |
---|---|
Cosmopolitan Physical Therapy P.c. 9932 62nd Ave Fl 3, Rego Park, NY 11374-1470 Ph: (347) 255-7063 | Cosmopolitan Physical Therapy P.c. 3751 75th St, Jackson Hts, NY 11372-6422 Ph: (718) 424-9899 |
Kirpal Candy Panilag, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7909 Northern Blvd, Jackson Hts, NY 11372 Phone: 347-901-8592 |