Fresh Pond Physical Therapy Greenpoint, P.c | |
6805 Fresh Pond Rd, Ridgewood, NY 11385-5200 | |
(718) 456-2545 | |
(718) 559-6784 |
Full Name | Fresh Pond Physical Therapy Greenpoint, P.c |
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Type | Facility |
Speciality | Physical Therapist |
Location | 6805 Fresh Pond Rd, Ridgewood, 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 |
---|---|---|---|
1356608509 | NPI | - | NPPES |
A100103715 | Other | NY | P TAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 015401-1 (New York) | Primary |
Provider Name | Liza Tan |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1982628764 PECOS PAC ID: 3779542303 Enrollment ID: I20041007000747 |
Provider Name | Noreen D Lagman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1275667339 PECOS PAC ID: 3173680105 Enrollment ID: I20090319000036 |
Provider Name | Kariz Mae Galano De Los Santos |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1770132433 PECOS PAC ID: 4789916214 Enrollment ID: I20191101000450 |
Provider Name | Christine Carmille Lucero Espiritu |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851055107 PECOS PAC ID: 8527457928 Enrollment ID: I20211104002478 |
Provider Name | Bhavna Rajesh Devnani |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043927817 PECOS PAC ID: 7719351287 Enrollment ID: I20230323002179 |
Mailing Address | Practice Location Address |
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Fresh Pond Physical Therapy Greenpoint, P.c 1007 Manhattan Ave, Brooklyn, NY 11222-1313 Ph: (718) 383-7361 | Fresh Pond Physical Therapy Greenpoint, P.c 6805 Fresh Pond Rd, Ridgewood, NY 11385-5200 Ph: (718) 456-2545 |
Redcore Physical Therapy And Rehabiitation Physical Therapist Medicare: Medicare Enrolled Practice Location: 311 St Nicholas Avenue, Suite E- Basement, Ridgewood, NY 11385 Phone: 718-509-9888 Fax: 718-509-6144 | |
Bhavna Rajesh Devnani, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 929-299-6505 | |
Stacie Malner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1666 Hancock St, Ridgewood, NY 11385 Phone: 718-456-7588 | |
Bryan Joseph Gicana De La Cruz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 865 Cypress Ave, Ridgewood, NY 11385 Phone: 848-667-0943 Fax: 848-667-0943 | |
Jamelle Rosette Santos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-456-2545 Fax: 718-559-6784 | |
Ruchi Modi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-456-2545 Fax: 718-559-6784 | |
Mrs. Elenita Bautista Oliver, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1732 Dekalb Ave, Ridgewood, NY 11385 Phone: 718-386-3124 |