Excel Physical Therapy & Wellness, Pc | |
111 Sullivan Ave, Suite 1-6, Ferndale, NY 12734-4315 | |
(845) 292-0890 | |
(845) 292-0940 |
Full Name | Excel Physical Therapy & Wellness, Pc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 111 Sullivan Ave, Ferndale, 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 |
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1265482954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 022218 (New York) | Primary |
Provider Name | Joseph Lazaro |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1003898891 PECOS PAC ID: 4284658949 Enrollment ID: I20060120000256 |
Provider Name | Jessica Lazaro |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639138191 PECOS PAC ID: 5890899330 Enrollment ID: I20070322000508 |
Mailing Address | Practice Location Address |
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Excel Physical Therapy & Wellness, Pc 111 Sullivan Ave, Suite 1-6, Ferndale, NY 12734-4315 Ph: (845) 292-0890 | Excel Physical Therapy & Wellness, Pc 111 Sullivan Ave, Suite 1-6, Ferndale, NY 12734-4315 Ph: (845) 292-0890 |
Mr. Joseph D Lazaro, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 Sullivan Ave, Suite 1-6, Ferndale, NY 12734 Phone: 845-292-0890 Fax: 845-292-0940 | |
Mrs. Tami Alexis Doyle, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Lt Brender Hwy, Ferndale, NY 12734 Phone: 845-292-3427 | |
Dr. Jessica Lazaro, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 Sullivan Ave, Suite 1-6, Ferndale, NY 12734 Phone: 845-292-0890 Fax: 845-292-0940 |