Maureen O'brien, | |
15 Ridgewood Dr, Wynantskill, NY 12198-2824 | |
(518) 674-1744 | |
Not Available |
Full Name | Maureen O'brien |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 15 Ridgewood Dr, Wynantskill, 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 |
---|---|---|---|
1952378390 | NPI | - | NPPES |
02209176 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 0138581 (New York) | Primary |
Provider Name | Samaritan Hospital Of Troy, New York |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043267727 PECOS PAC ID: 6507770070 Enrollment ID: O20031118000782 |
Mailing Address | Practice Location Address |
---|---|
Maureen O'brien, Po Box 387, 43 Mall, West Sand Lake, NY 12196-0387 Ph: (518) 283-7374 | Maureen O'brien, 15 Ridgewood Dr, Wynantskill, NY 12198-2824 Ph: (518) 674-1744 |
Mr. Rodd Koch, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 32 Francis Dr, Wynantskill, NY 12198 Phone: 518-286-9021 | |
Jillian Picarillo, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 86 Main Ave, Wynantskill, NY 12198 Phone: 518-326-0702 Fax: 518-326-0706 | |
Cierra Casale, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 86 Main Ave, Wynantskill, NY 12198 Phone: 518-326-0702 |