Fruition Physical Therapy Pllc | |
2747 Crescent St Ste 203, Astoria, NY 11102-3142 | |
(347) 869-9798 | |
Not Available |
Full Name | Fruition Physical Therapy Pllc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 2747 Crescent St Ste 203, Astoria, 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 |
---|---|---|---|
1386218733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Ode Egharevba |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1578159422 PECOS PAC ID: 5496169062 Enrollment ID: I20210122002315 |
Mailing Address | Practice Location Address |
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Fruition Physical Therapy Pllc 100 Broadway Unit 594, Lynbrook, NY 11563-5013 Ph: (347) 869-9798 | Fruition Physical Therapy Pllc 2747 Crescent St Ste 203, Astoria, NY 11102-3142 Ph: (347) 869-9798 |
Jessica S Benardello, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3711 35th Ave, Suite 3c & 3g, Astoria, NY 11101 Phone: 718-706-7500 | |
Maegan Aquino, PTRP, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2816 21st St, Astoria, NY 11102 Phone: 718-912-2865 | |
Anjie Ace Garciano Zozobrado, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3272 Steinway St Ste B02, Astoria, NY 11103 Phone: 646-744-8903 | |
Eleonor C Malinao, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3270 31st St, Astoria, NY 11106 Phone: 718-626-2699 Fax: 718-626-0923 | |
Mr. Michael Torres Pulgo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3250 44th St Apt 2r, Astoria, NY 11103 Phone: 917-499-1880 Fax: 917-499-1880 | |
Ride Tady, Physical Therapist Medicare: Medicare Enrolled Practice Location: 3063 38th St, Astoria, NY 11103 Phone: 718-932-1269 | |
Dr. Martha Holly Gold, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2331 29th St, 3k, Astoria, NY 11105 Phone: 917-359-9319 |