Kathryn Yates Gray, PT | |
380 Washington Ave, Roosevelt, NY 11575-1845 | |
(516) 378-2000 | |
Not Available |
Full Name | Kathryn Yates Gray |
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Gender | Female |
Speciality | Physical Therapist - Pediatrics |
Location | 380 Washington Ave, Roosevelt, 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 |
---|---|---|---|
1093941825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251P0200X | Physical Therapist - Pediatrics | 010740-1 (New York) | Primary |
Provider Name | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603 |
Mailing Address | Practice Location Address |
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Kathryn Yates Gray, PT 380 Washington Ave, Roosevelt, NY 11575-1845 Ph: (516) 378-2000 | Kathryn Yates Gray, PT 380 Washington Ave, Roosevelt, NY 11575-1845 Ph: (516) 378-2000 |
Dr. Jill Anne Mandel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 380 Washington Ave, Roosevelt, NY 11575 Phone: 516-378-2000 | |
Mr. Symong Choi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 380 Washington Ave, Roosevelt, NY 11575 Phone: 516-378-2000 | |
Claudia Olender, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 380 Washington Ave, Roosevelt, NY 11575 Phone: 516-378-2000 | |
Ms. Diana Lynn Panullo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 380 Washington Ave, Roosevelt, NY 11575 Phone: 516-378-2000 | |
Mrs. Tawana Nicole Mateo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 380 Washington Ave, Roosevelt, NY 11575 Phone: 516-378-2000 | |
Mr. Bobby Nabeyama, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 360 Washington Ave, Roosevelt, NY 11575 Phone: 516-378-2000 |