Gary Hanson, | |
234 Orinoco Dr, Brightwaters, NY 11718-1822 | |
(631) 300-0797 | |
Not Available |
Full Name | Gary Hanson |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 234 Orinoco Dr, Brightwaters, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437923661 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | 013511-01 (New York) | Primary |
Provider Name | Physical Medicine & Rehabilitation Of Long Island |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003293366 PECOS PAC ID: 4486966157 Enrollment ID: O20150709000313 |
Mailing Address | Practice Location Address |
---|---|
Gary Hanson, 234 Orinoco Dr, Brightwaters, NY 11718-1822 Ph: (631) 300-0797 | Gary Hanson, 234 Orinoco Dr, Brightwaters, NY 11718-1822 Ph: (631) 300-0797 |
Priscilla Pavai, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 234 Orinoco Drive, Brightwaters, NY 11718 Phone: 631-300-0797 | |
Dr. Thomas Andrew Marchese, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 78 Wohseepee Dr, Brightwaters, NY 11718 Phone: 631-968-8039 | |
Raymond Francis Mattfeld, P.T., A.T.C Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 160 Orinoco Dr, Brightwaters, NY 11718 Phone: 631-665-9056 Fax: 631-665-9058 | |
Mr. Christian Alexander Jurak, M.S., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 541 Peters Blvd, Brightwaters, NY 11718 Phone: 516-859-4514 |