| Manuel Domingo, PHYSICAL THERAPIST | |
|
32 Hansen St, Tappan, NY 10983-1717 | |
| (845) 480-2593 | |
| (201) 564-7514 |
| Full Name | Manuel Domingo |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 32 Hansen St, Tappan, 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 |
|---|---|---|---|
| 1912740879 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 030341-01 (New York) | Primary |
| Provider Name | Dynamic Physical Therapy Rehab Of Ny Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1134775174 PECOS PAC ID: 1759611759 Enrollment ID: O20190917003945 |
| Mailing Address | Practice Location Address |
|---|---|
| Manuel Domingo, PHYSICAL THERAPIST 2899 State Route 26, Vestal, NY 13850-6207 Ph: (607) 373-9999 | Manuel Domingo, PHYSICAL THERAPIST 32 Hansen St, Tappan, NY 10983-1717 Ph: (845) 480-2593 |
Mr. John Patrick Carey, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27 Jeannes Pl, Tappan, NY 10983 Phone: 845-365-8262 | |
Pranathi Phooldandikar, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 47 Route 303, Tappan, NY 10983 Phone: 845-848-2506 | |
Dr. Michael Anthony Paciello, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 47 Ny-303, Tappan, NY 10983 Phone: 845-202-3813 |