Kantaya Korsak, | |
201 Dolson Ave Ste G100, Middletown, NY 10940-6572 | |
(845) 343-9619 | |
Not Available |
Full Name | Kantaya Korsak |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 201 Dolson Ave Ste G100, Middletown, 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 |
---|---|---|---|
1134786940 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 044303-1 (New York) | Primary |
Provider Name | Middletown Physical Therapy, P.c |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952541328 PECOS PAC ID: 1759420532 Enrollment ID: O20091208000529 |
Provider Name | Physical Therapy Wellness, Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1760026629 PECOS PAC ID: 8022449354 Enrollment ID: O20200520002285 |
Mailing Address | Practice Location Address |
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Kantaya Korsak, 201 Dolson Ave Ste G100, Middletown, NY 10940-6572 Ph: (845) 343-9619 | Kantaya Korsak, 201 Dolson Ave Ste G100, Middletown, NY 10940-6572 Ph: (845) 343-9619 |
Richard Escano, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 95 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Mr. Janus Ceasar Fabia Musico, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 123 Sproat St, Middletown, NY 10940 Phone: 845-344-6046 | |
Niah Vicente Cortez, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 95 Crystal Run Rd, Middletown, NY 10941 Phone: 845-703-6999 Fax: 845-703-6297 | |
Ms. Christine Francess Deperrio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 192 Tower Dr, Suite 400, Middletown, NY 10941 Phone: 845-692-4391 | |
Mr. Rommel Lim Milliam, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 42 Rykowski Ln, Middletown, NY 10941 Phone: 845-673-5554 Fax: 845-673-5760 | |
Dae Hoon Kim, Physical Therapist Medicare: Medicare Enrolled Practice Location: 156 Dolson Ave, Middletown, NY 10940 Phone: 646-306-8442 | |
Mary Ann Anthony, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 334 Bowser Rd, Middletown, NY 10940 Phone: 845-342-1030 |