| Fresh Meadows Pt Pllc | |
|
7323 169th St, Fresh Meadows, NY 11366-1321 | |
| (347) 645-5105 | |
| Not Available |
| Full Name | Fresh Meadows Pt Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 7323 169th St, Fresh Meadows, 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 |
|---|---|---|---|
| 1891449666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Vladimir Davydov |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891020798 PECOS PAC ID: 5799170536 Enrollment ID: I20220315001660 |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Meadows Pt Pllc 7323 169th St, Fresh Meadows, NY 11366-1321 Ph: (347) 645-5105 | Fresh Meadows Pt Pllc 7323 169th St, Fresh Meadows, NY 11366-1321 Ph: (347) 645-5105 |
Nepthalie Borlaza, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16419 76th Ave, 2 Flr., Fresh Meadows, NY 11366 Phone: 347-445-0202 Fax: 718-417-1075 | |
Motion Access Pt Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 7580 184th St, Fresh Meadows, NY 11366 Phone: 347-497-9152 | |
Lauren A Wright, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17660 Union Tpke, Suite 195, Fresh Meadows, NY 11366 Phone: 718-820-9300 Fax: 718-820-9382 | |
Juliza Santiago, R.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 6727 197th St, Fresh Meadows, NY 11365 Phone: 917-399-4986 | |
Dr. Dina Sadykov, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6717 185th St, Fresh Meadows, NY 11365 Phone: 347-466-0606 | |
Livy Dela Cruz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6544 182nd St, Fresh Meadows, NY 11365 Phone: 917-226-8271 | |
Ricardo Arturo Santiago, R.P.T Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 67-27 197 Street, Fresh Meadows, NY 11365 Phone: 917-399-4987 |