| |
3620 Harlem Road, Suite 2, Cheektowaga, NY 14215-2042 | |
(716) 446-9500 | |
(716) 446-9501 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 3620 Harlem Road, Cheektowaga, 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 |
---|---|---|---|
1407034259 | NPI | - | NPPES |
02167366 | Medicaid | NY | |
000626742002 | Other | NY | BLUE CROSS BLUE SHIELD |
BA0242 | Other | NY | CORPORATE PROVIDER ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 022612 (New York) | Primary |
Provider Name | Brian K Glover |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447242342 PECOS PAC ID: 8224023643 Enrollment ID: I20040416000005 |
Mailing Address | Practice Location Address |
---|---|
3620 Harlem Road, Suite 2, Cheektowaga, NY 14215-2042 Ph: (716) 446-9500 | 3620 Harlem Road, Suite 2, Cheektowaga, NY 14215-2042 Ph: (716) 446-9500 |
Marie Crawford, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3620 Harlem Rd Ste 2, Cheektowaga, NY 14215 Phone: 716-446-9500 Fax: 716-446-9501 | |
Dr. Michael S Brogan, PT, DPT, PHD Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2355 Union Rd, Cheektowaga, NY 14227 Phone: 716-825-1730 | |
Christin M Fisher, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4635 Union Rd, Cheektowaga, NY 14225 Phone: 716-505-5700 Fax: 716-633-9351 | |
Camillia J Mcklevis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4635 Union Rd, Cheektowaga, NY 14225 Phone: 716-505-5700 Fax: 716-633-9351 | |
Tyler Whitaker, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 7 Community Dr, Cheektowaga, NY 14225 Phone: 716-505-5651 | |
Amanda Lyn Moore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 777 Maryvale Dr, Cheektowaga, NY 14225 Phone: 716-631-9515 | |
Samantha E Panfil, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4635 Union Rd, Cheektowaga, NY 14225 Phone: 716-505-5700 Fax: 716-933-9351 |