Ethelvida Ciccone, PT | |
17 Primrose St, Katonah, NY 10536 | |
(914) 301-5107 | |
Not Available |
Full Name | Ethelvida Ciccone |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 17 Primrose St, Katonah, 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 |
---|---|---|---|
1710199914 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 017135-1 (New York) | Primary |
Provider Name | Full Grace Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1598268740 PECOS PAC ID: 7517220379 Enrollment ID: O20180410001276 |
Mailing Address | Practice Location Address |
---|---|
Ethelvida Ciccone, PT 17 Primrose St, Katonah, NY 10536 Ph: (914) 301-5107 | Ethelvida Ciccone, PT 17 Primrose St, Katonah, NY 10536 Ph: (914) 301-5107 |
Premier Physical Therapy Of Katonah Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 223 Katonah Ave, Katonah, NY 10536 Phone: 914-232-1480 Fax: 914-232-3341 | |
Marcie Ann Sweigert, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 Goldens Bridge Rd, Katonah Physical Therapy Pc, Katonah, NY 10536 Phone: 914-232-3306 Fax: 914-232-4862 | |
Julie Rosenberg Pt Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Summit Rd, Katonah, NY 10536 Phone: 914-772-8322 | |
Elizabeth Lucker, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 223 Katonah Ave, Ste. C, Katonah, NY 10536 Phone: 914-232-1480 Fax: 914-232-3341 | |
Patricia Strickland Larkin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 190 Goldens Bridge Road, Katonah Physical Therapy Pc, Katonah, NY 10536 Phone: 914-232-3306 Fax: 914-232-4862 | |
Janet Rossi Maurantonio, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10 Frances Dr, Katonah, NY 10536 Phone: 914-261-7998 | |
Elena Malik, P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 223 Katonah Ave, Katonah, NY 10536 Phone: 914-232-1480 |