| Dynamic Wellness Physical Therapy Pc | |
|
7217 18th Ave, Brooklyn, NY 11204-5634 | |
| (718) 837-7581 | |
| Not Available |
| Full Name | Dynamic Wellness Physical Therapy Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 7217 18th Ave, Brooklyn, 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 |
|---|---|---|---|
| 1376919662 | NPI | - | NPPES |
| 04075590 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 031132 (New York) | Primary |
| Provider Name | Caryl Luisa T Rasco |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235445032 PECOS PAC ID: 7214188630 Enrollment ID: I20121113000231 |
| Provider Name | Z-jy Dela Cruz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871052191 PECOS PAC ID: 2163832312 Enrollment ID: I20201029002229 |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Wellness Physical Therapy Pc 7217 18th Ave, Brooklyn, NY 11204-5634 Ph: (718) 837-7581 | Dynamic Wellness Physical Therapy Pc 7217 18th Ave, Brooklyn, NY 11204-5634 Ph: (718) 837-7581 |
Hany Mekhael, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2273 65th Street, Brooklyn, NY 11204 Phone: 718-236-4970 Fax: 718-236-5274 | |
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Ms. Renee Kimberly Dance, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 254a Brooklyn Ave, Brooklyn, NY 11213 Phone: 347-783-9408 | |
Ms. Shirley Ann Coffey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 433 64th St, Brooklyn, NY 11220 Phone: 718-594-0740 | |
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