Manuel Domingo, PHYSICAL THERAPIST is a
Physical Therapist based in Tappan, New York. Manuel Domingo is licensed to practice in New York (license number 030341-01) and his current practice location is
32 Hansen St, Tappan, New York. He can be reached at his office (for appointments etc.) via phone at
(845) 480-2593.
NPI number for Manuel Domingo is 1912740879 and his current mailing address is 2899 State Route 26, Vestal, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912740879.
Healthcare Provider's Profile
| Full Name | Manuel Domingo |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 32 Hansen St, Tappan, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912740879
- Provider Enumeration Date: 06/17/2024
- Last Update Date: 06/17/2024
Medical Identifiers
Medical identifiers for Manuel Domingo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912740879 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 030341-01 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Manuel Domingo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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 |
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