Jill A Spinoso, PT | |
5719 Widewaters Pkwy, De Witt, NY 13214-1985 | |
(315) 449-1301 | |
(315) 449-2707 |
Full Name | Jill A Spinoso |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 5719 Widewaters Pkwy, De Witt, 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 |
---|---|---|---|
1326339599 | NPI | - | NPPES |
02052091 | Other | NY | MEDCAID GROUP |
AA0171 | Other | NY | MEDICARE GROUP |
AA0172 | Other | NY | MEDICARE GROUP ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 010788 (New York) | Primary |
Provider Name | Mary Lou Corcoran Pt Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699780338 PECOS PAC ID: 2668386145 Enrollment ID: O20031118000810 |
Mailing Address | Practice Location Address |
---|---|
Jill A Spinoso, PT 231 Walton St, Suite 200, Syracuse, NY 13202-1885 Ph: (315) 478-0380 | Jill A Spinoso, PT 5719 Widewaters Pkwy, De Witt, NY 13214-1985 Ph: (315) 449-1301 |
Julie Hartenstein, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, De Witt, NY 13214 Phone: 315-449-1301 Fax: 315-449-2707 | |
Vincent Marino Jr., P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, De Witt, NY 13214 Phone: 315-449-1301 Fax: 315-449-2707 | |
Ms. Danielle Lynn Motyka, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 224 Wellington Rd, De Witt, NY 13214 Phone: 315-449-4670 | |
Katie Curran Iv, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5719 Widewaters Pkwy, De Witt, NY 13214 Phone: 315-449-1301 Fax: 315-449-2707 | |
Noah Brown, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5719 Widewaters Pkwy, De Witt, NY 13214 Phone: 315-449-1301 Fax: 315-449-2707 | |
Mrs. Catherine Ann Keough, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3218 Erie Blvd E, De Witt, NY 13214 Phone: 315-450-4898 |