Kristofferson R Bajo, PT | |
21 Washington Ave, Brentwood, NY 11717-3215 | |
(631) 813-2080 | |
Not Available |
Full Name | Kristofferson R Bajo |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 21 Washington Ave, Brentwood, 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 |
---|---|---|---|
1255999074 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 037661 (New York) | Primary |
Provider Name | Hector Melgar Pt Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003080649 PECOS PAC ID: 9638189236 Enrollment ID: O20060426000881 |
Mailing Address | Practice Location Address |
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Kristofferson R Bajo, PT 21 Washington Ave, Brentwood, NY 11717-3215 Ph: (631) 813-2080 | Kristofferson R Bajo, PT 21 Washington Ave, Brentwood, NY 11717-3215 Ph: (631) 813-2080 |
Ms. Dianne Keegan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 Suffolk Ave, Brentwood, NY 11717 Phone: 631-434-3232 Fax: 631-265-2559 | |
Iluminado Nirza Jr., PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Second Avenue, Brentwood, NY 11717 Phone: 631-617-5733 | |
Kinetique Physical Therapy Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2025 Brentwood Rd, Brentwood, NY 11717 Phone: 631-234-4949 | |
Oluwatomi Oyegoke, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19 Deepdale Dr, Brentwood, NY 11717 Phone: 301-257-1442 | |
Sharon R. Catague, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 21 Washington Ave, Brentwood, NY 11717 Phone: 631-813-2080 | |
Hector Antonio Melgar, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 737 Commack Rd, Brentwood, NY 11717 Phone: 631-388-7500 |