Mary Cardello Pt Pc | |
41 Saxon Ave, Bay Shore, NY 11706-7021 | |
(631) 665-4448 | |
(888) 483-0941 |
Full Name | Mary Cardello Pt Pc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 41 Saxon Ave, Bay Shore, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366850083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 0134091 (New York) | Primary |
Provider Name | Mary Cardello |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215141478 PECOS PAC ID: 6901986264 Enrollment ID: I20071228000189 |
Mailing Address | Practice Location Address |
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Mary Cardello Pt Pc 41 Saxon Ave, Bay Shore, NY 11706-7021 Ph: (631) 665-4448 | Mary Cardello Pt Pc 41 Saxon Ave, Bay Shore, NY 11706-7021 Ph: (631) 665-4448 |
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