Mariano Frederico Gaviola, | |
28b Indian Rock, Montebello, NY 10901-4907 | |
(845) 368-2180 | |
Not Available |
Full Name | Mariano Frederico Gaviola |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 28b Indian Rock, Montebello, 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 |
---|---|---|---|
1558580647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 014901-1 (New York) | Primary |
Provider Name | Montefiore Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
Provider Name | Irm Ptpc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689754129 PECOS PAC ID: 7517066640 Enrollment ID: O20150330001069 |
Mailing Address | Practice Location Address |
---|---|
Mariano Frederico Gaviola, 2244 Palisades Center Dr, West Nyack, NY 10994-6402 Ph: () - | Mariano Frederico Gaviola, 28b Indian Rock, Montebello, NY 10901-4907 Ph: (845) 368-2180 |
Mr. Joel V. Rosenstein, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28b Indian Rock, Montebello, NY 10901 Phone: 845-368-2180 Fax: 845-368-2187 | |
Montefiore Medical Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 28 B Indian Rock Plaza, Route 59, Montebello, NY 10901 Phone: 845-368-2108 Fax: 845-368-2187 | |
Lauren Fritzsch, Physical Therapist Medicare: Medicare Enrolled Practice Location: 28b Indian Rock, Montebello, NY 10901 Phone: 845-368-2180 | |
Evangeline Sanvicente-dorsey, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 28b Indian Rock, Montebello, NY 10901 Phone: 845-368-2180 | |
Eloisa Lara, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 28b Indian Rock, Montebello, NY 10901 Phone: 845-368-2180 Fax: 845-368-2187 | |
Caitlin Reda, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8 Wilbur Rd, Montebello, NY 10901 Phone: 845-659-5727 |