Dr Gary Krasilovsky, PT | |
10 Lookout Ln, Westport, CT 06880-5115 | |
(203) 227-7066 | |
Not Available |
Full Name | Dr Gary Krasilovsky |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 10 Lookout Ln, Westport, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295955615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 003920-01 (New York) | Secondary |
225100000X | Physical Therapist | 3015 (Connecticut) | Primary |
Provider Name | Krasilovsky Ny Pt Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1134847585 PECOS PAC ID: 3072985159 Enrollment ID: O20230220000541 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary Krasilovsky, PT 10 Lookout Ln, Westport, CT 06880-5115 Ph: (203) 227-7066 | Dr Gary Krasilovsky, PT 10 Lookout Ln, Westport, CT 06880-5115 Ph: (203) 227-7066 |
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