Ignite Rehab Pt Pc | |
3000 Ocean Pkwy Apt 2j, Brooklyn, NY 11235-8344 | |
(718) 714-4650 | |
Not Available |
Full Name | Ignite Rehab Pt Pc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 3000 Ocean Pkwy Apt 2j, Brooklyn, 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 |
---|---|---|---|
1003263534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 022730 (New York) | Primary |
Provider Name | Roland Vano Dela Serna |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1992943252 PECOS PAC ID: 6507886389 Enrollment ID: I20051123000392 |
Provider Name | Annabelle Ramos Tungcab |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1033587936 PECOS PAC ID: 9436447539 Enrollment ID: I20161005000816 |
Provider Name | Roland Paqueo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1548306335 PECOS PAC ID: 9931465911 Enrollment ID: I20171113003057 |
Mailing Address | Practice Location Address |
---|---|
Ignite Rehab Pt Pc 3000 Ocean Pkwy Apt 2j, Brooklyn, NY 11235-8344 Ph: (718) 714-4650 | Ignite Rehab Pt Pc 3000 Ocean Pkwy Apt 2j, Brooklyn, NY 11235-8344 Ph: (718) 714-4650 |
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