| Mark Luis Miclat, PT, DPT | |
|
143 E 34th St, New York, NY 10016-4713 | |
| (646) 841-1400 | |
| Not Available |
| Full Name | Mark Luis Miclat |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 143 E 34th St, New York, 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 |
|---|---|---|---|
| 1205537057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 048774 (New York) | Primary |
| Provider Name | Reddy Care Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1932171097 PECOS PAC ID: 5890685986 Enrollment ID: O20150511000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Luis Miclat, PT, DPT 31 E 32nd St Fl 4, New York, NY 10016-5595 Ph: (212) 759-2282 | Mark Luis Miclat, PT, DPT 143 E 34th St, New York, NY 10016-4713 Ph: (646) 841-1400 |
Wilbert Lao, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 37 W 26th St, Suite 302, New York, NY 10010 Phone: 718-285-0588 Fax: 718-285-9323 | |
Elisabeth Anne Frank, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 5th Ave, 22nd Floor, New York, NY 10017 Phone: 404-849-5770 | |
Ryanne Tanae Glasper, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 230 W 38th St Fl 18, New York, NY 10018 Phone: 212-997-7490 Fax: 212-007-7492 | |
Miss Shari Ilise Nadel, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 W 35th St, Suite 407, New York, NY 10001 Phone: 917-591-8494 | |
Katherine Spencer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 W 108th St Apt 41, New York, NY 10025 Phone: 585-737-2360 | |
Kunjan Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 675 3rd Ave, 5th Floor, New York, NY 10017 Phone: 212-204-5144 | |
Mr. Ramoncito Tiosejo Dizon, RPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1615 Madison Ave, New York, NY 10029 Phone: 212-860-5803 Fax: 212-860-6095 |