Gnlc Physical Therapy Pllc | |
500 Portion Rd, Suite5, Lake Ronkonkoma, NY 11779-4587 | |
(631) 588-2100 | |
(631) 588-2299 |
Full Name | Gnlc Physical Therapy Pllc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 500 Portion Rd, Lake Ronkonkoma, 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 |
---|---|---|---|
1376930974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 22606 (New York) | Primary |
225100000X | Physical Therapist | 033193 (New York) | Secondary |
Provider Name | Gregory B Neilsen |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1851301311 PECOS PAC ID: 0547437949 Enrollment ID: I20120126000341 |
Provider Name | Louis Cifarelli |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1669764247 PECOS PAC ID: 7719104751 Enrollment ID: I20140814001280 |
Mailing Address | Practice Location Address |
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Gnlc Physical Therapy Pllc 500 Portion Rd, Suite5, Lake Ronkonkoma, NY 11779-4587 Ph: (631) 588-2100 | Gnlc Physical Therapy Pllc 500 Portion Rd, Suite5, Lake Ronkonkoma, NY 11779-4587 Ph: (631) 588-2100 |
Mrs. Kimberly Messina, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 45 Rosevale Ave, Lake Ronkonkoma, NY 11779 Phone: 631-585-3585 Fax: 631-585-3585 | |
Dr. Michael Wirth, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 650 Hawkins Ave, Ste 4, Lake Ronkonkoma, NY 11779 Phone: 631-981-7422 Fax: 631-981-2490 | |
Tracey Lynn Smith, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 167 Smith Rd, Lake Ronkonkoma, NY 11779 Phone: 631-348-1389 | |
Barbara M. Conner, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Church Pl, Lake Ronkonkoma, NY 11779 Phone: 631-588-8195 | |
Mrs. Kristy A Goodman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 709 Hawkins Ave Ste 1, Lake Ronkonkoma, NY 11779 Phone: 631-467-4221 Fax: 631-467-4233 | |
Kerri Hamilton, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 484 Hawkins Ave, Lake Ronkonkoma, NY 11779 Phone: 631-467-4221 Fax: 631-467-4233 |