Jose Mari Lim Raffinan, PT | |
4846 47th St Apt 4e, Woodside, NY 11377-7267 | |
(929) 431-5274 | |
Not Available |
Full Name | Jose Mari Lim Raffinan |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 4846 47th St Apt 4e, Woodside, 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 |
---|---|---|---|
1972262145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 040308 (New York) | Primary |
Provider Name | Outreach Physical & Occupational Therapy & Speech Rehabilitation, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1841526399 PECOS PAC ID: 2365582665 Enrollment ID: O20091217000370 |
Mailing Address | Practice Location Address |
---|---|
Jose Mari Lim Raffinan, PT 4846 47th St Apt 4e, Woodside, NY 11377-7267 Ph: (929) 431-5274 | Jose Mari Lim Raffinan, PT 4846 47th St Apt 4e, Woodside, NY 11377-7267 Ph: (929) 431-5274 |
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