Ian Enrick Bartolome, | |
5203 82nd St Fl 1, Elmhurst, NY 11373-4114 | |
(347) 458-8497 | |
Not Available |
Full Name | Ian Enrick Bartolome |
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Gender | Male |
Speciality | Physical Therapist |
Location | 5203 82nd St Fl 1, Elmhurst, 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 |
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1083240279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 042591 (New York) | Primary |
Provider Name | Fresh Pond Physical Therapy, P.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508844036 PECOS PAC ID: 4486605342 Enrollment ID: O20050208000670 |
Mailing Address | Practice Location Address |
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Ian Enrick Bartolome, 5203 82nd St Fl 1, Elmhurst, NY 11373-4114 Ph: () - | Ian Enrick Bartolome, 5203 82nd St Fl 1, Elmhurst, NY 11373-4114 Ph: (347) 458-8497 |
Atv Rehab Pt Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8540 54th Ave, Elmhurst, NY 11373 Phone: 929-342-9846 | |
Ms. Nilofer S Keshwani, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-5970 Fax: 718-334-5958 | |
Sheila Marie Gervise Abadia-dona, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8528 Britton Ave, Elmhurst, NY 11373 Phone: 718-898-2230 | |
Patrick Lyo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5205 Van Loon St, Elmhurst, NY 11373 Phone: 347-220-8195 Fax: 866-202-3177 | |
Rehab One Physical Therapy P C Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8635 Queens Blvd, 1b, Elmhurst, NY 11373 Phone: 718-533-8588 Fax: 718-533-1249 | |
Ms. Marycris Selorio Romarate, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8635 Queens Blvd Ste 1b, Elmhurst, NY 11373 Phone: 718-533-1249 | |
Osama Almanastirly, P.T Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8535 58th Ave, Elmhurst, NY 11373 Phone: 929-241-7166 |