Mary Lisa Lampe, PT | |
666 Lexington Ave, Mount Kisco, NY 10549-3632 | |
(914) 666-7900 | |
Not Available |
Full Name | Mary Lisa Lampe |
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Gender | Female |
Speciality | Physical Therapist |
Location | 666 Lexington Ave, Mount Kisco, 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 |
---|---|---|---|
1265720338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 013963-1 (New York) | Primary |
Provider Name | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603 |
Mailing Address | Practice Location Address |
---|---|
Mary Lisa Lampe, PT 60 Goldens Bridge Rd, Katonah, NY 10536-3447 Ph: (914) 232-3266 | Mary Lisa Lampe, PT 666 Lexington Ave, Mount Kisco, NY 10549-3632 Ph: (914) 666-7900 |
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