Malik Campbell, | |
559 Gramatan Ave Ste 203-205, Fleetwood, NY 10552-2155 | |
(914) 371-1990 | |
Not Available |
Full Name | Malik Campbell |
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Gender | Male |
Speciality | Physical Therapist |
Location | 559 Gramatan Ave Ste 203-205, Fleetwood, 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 |
---|---|---|---|
1346015708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 051191 (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 |
Provider Name | Professional Occupational & Physical Therapy Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205296902 PECOS PAC ID: 3779873401 Enrollment ID: O20160608000715 |
Mailing Address | Practice Location Address |
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Malik Campbell, 576 Broadhollow Rd, Melville, NY 11747-5002 Ph: (631) 359-5859 | Malik Campbell, 559 Gramatan Ave Ste 203-205, Fleetwood, NY 10552-2155 Ph: (914) 371-1990 |
Dr. Anne Catherine Patti, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 559 Gramatan Ave Ste 203-205, Fleetwood, NY 10552 Phone: 914-371-1990 Fax: 914-371-7588 | |
Mrs. Angela Schonberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 485 Gramatan Ave Apt 1k, Fleetwood, NY 10552 Phone: 914-396-9618 |