Ian Martin, | |
2162 Broadway Fl 2, New York, NY 10024-6620 | |
(212) 362-3595 | |
Not Available |
Full Name | Ian Martin |
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Gender | Female |
Speciality | Physical Therapist |
Location | 2162 Broadway Fl 2, New York, 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 |
---|---|---|---|
1144903980 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603 |
Provider Name | Professional Occupational & Physical Therapy Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205296902 PECOS PAC ID: 3779873401 Enrollment ID: O20160608000715 |
Mailing Address | Practice Location Address |
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Ian Martin, 576 Broadhollow Rd, Melville, NY 11747-5002 Ph: (631) 359-5800 | Ian Martin, 2162 Broadway Fl 2, New York, NY 10024-6620 Ph: (212) 362-3595 |
Wilbert Lao, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 37 W 26th St, Suite 302, New York, NY 10010 Phone: 718-285-0588 Fax: 718-285-9323 | |
Elisabeth Anne Frank, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 5th Ave, 22nd Floor, New York, NY 10017 Phone: 404-849-5770 | |
Ryanne Tanae Glasper, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 230 W 38th St Fl 18, New York, NY 10018 Phone: 212-997-7490 Fax: 212-007-7492 | |
Miss Shari Ilise Nadel, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 W 35th St, Suite 407, New York, NY 10001 Phone: 917-591-8494 | |
Katherine Spencer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 W 108th St Apt 41, New York, NY 10025 Phone: 585-737-2360 | |
Kunjan Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 675 3rd Ave, 5th Floor, New York, NY 10017 Phone: 212-204-5144 | |
Mr. Ramoncito Tiosejo Dizon, RPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1615 Madison Ave, New York, NY 10029 Phone: 212-860-5803 Fax: 212-860-6095 |