Jacqueline Alisse Slagor, PT, DPT | |
1031 Michigan Ave, Buffalo, NY 14203 | |
(716) 748-3197 | |
Not Available |
Full Name | Jacqueline Alisse Slagor |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1031 Michigan Ave, Buffalo, 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 |
---|---|---|---|
1457879058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 037986 (New York) | Primary |
Provider Name | Fox Rehabilitation Services Me Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164175535 PECOS PAC ID: 0042607681 Enrollment ID: O20220428001403 |
Mailing Address | Practice Location Address |
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Jacqueline Alisse Slagor, PT, DPT 189 Dubonnet Dr, Depew, NY 14043 Ph: () - | Jacqueline Alisse Slagor, PT, DPT 1031 Michigan Ave, Buffalo, NY 14203 Ph: (716) 748-3197 |
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Mr. Kenneth A Munch, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3495 Bailey Ave, Buffalo, NY 14215 Phone: 716-862-8661 | |
Kimberly Ann Schillace, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2128 Elmwood Ave, Buffalo, NY 14207 Phone: 716-874-4500 Fax: 716-874-3195 | |
Mrs. Joann J Schellati, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-898-3224 Fax: 716-898-3259 | |
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