Ereny Atallah, | |
237 Brookfield Ave # 10308, Staten Island, NY 10308-1441 | |
(347) 884-6102 | |
Not Available |
Full Name | Ereny Atallah |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 237 Brookfield Ave # 10308, Staten Island, 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 |
---|---|---|---|
1831708270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 04588201 (New York) | Primary |
Provider Name | Hands Of Hope Pt P.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932583663 PECOS PAC ID: 8022323781 Enrollment ID: O20150811003715 |
Mailing Address | Practice Location Address |
---|---|
Ereny Atallah, 237 Brookfield Ave # 10308, Staten Island, NY 10308-1441 Ph: (347) 884-6102 | Ereny Atallah, 237 Brookfield Ave # 10308, Staten Island, NY 10308-1441 Ph: (347) 884-6102 |
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