Gary A. Despres Physical Therapy P.c. | |
53345 Main Road, Building 8 Unit 1, Southold, NY 11971-4643 | |
(631) 806-2179 | |
Not Available |
Full Name | Gary A. Despres Physical Therapy P.c. |
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Type | Facility |
Speciality | Physical Therapist |
Location | 53345 Main Road, Southold, 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 |
---|---|---|---|
1144999053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Gary A Despres |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639380892 PECOS PAC ID: 2769635564 Enrollment ID: I20130103000156 |
Mailing Address | Practice Location Address |
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Gary A. Despres Physical Therapy P.c. 875 S Harbor Rd, Southold, NY 11971-4516 Ph: (631) 806-2179 | Gary A. Despres Physical Therapy P.c. 53345 Main Road, Building 8 Unit 1, Southold, NY 11971-4643 Ph: (631) 806-2179 |
Madison Gore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 46520 County Road 48, Southold, NY 11971 Phone: 631-765-9389 | |
Ms. Lynn A Cataldo, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 57190 Main Rd, Southold, NY 11971 Phone: 631-765-3620 Fax: 631-765-0013 | |
Karen Christine Mitchell, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 775 Hummel Ave, Southold, NY 11971 Phone: 631-765-8417 | |
Noreen Bawn Kelly, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 375 Kenneys Rd, Southold, NY 11971 Phone: 631-245-2813 | |
Mary E Whyard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 690 Oriole Dr, Southold, NY 11971 Phone: 516-658-7215 | |
Mr. Daniel R Charlebois, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 46520 North Rd, Southold, NY 11971 Phone: 631-765-9389 Fax: 631-765-9369 |