Miss Shanna Haddow, DPT | |
159 Islip Ave, Islip, NY 11751-3210 | |
(631) 650-6347 | |
(631) 650-6346 |
Full Name | Miss Shanna Haddow |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 159 Islip Ave, Islip, 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 |
---|---|---|---|
1659155810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 050850 (New York) | Primary |
Provider Name | Professional Care Physical Therapy And Rehabilitation P.c |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1659518157 PECOS PAC ID: 7517023351 Enrollment ID: O20090304000028 |
Mailing Address | Practice Location Address |
---|---|
Miss Shanna Haddow, DPT 191 Patchogue Yaphank Rd, East Patchogue, NY 11772-4899 Ph: (631) 775-0971 | Miss Shanna Haddow, DPT 159 Islip Ave, Islip, NY 11751-3210 Ph: (631) 650-6347 |
Mr. Nicholas Dabrowski, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 159 Islip Ave, Islip, NY 11751 Phone: 631-650-6347 | |
Sean Thomas Luzzi, Physical Therapist Medicare: Medicare Enrolled Practice Location: 152 Islip Ave Ste 23, Islip, NY 11751 Phone: 631-277-6767 | |
Raluchukwu Okonkwo Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 59 38th Street, Islip, NY 11751 Phone: 631-355-6425 | |
Ms. Karlene Elizabeth Braun-oscher, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 Wilson Blvd, 202 Wilson Blvd, Islip, NY 11751 Phone: 631-431-6564 Fax: 631-277-5005 | |
Mr. Cosmo Philip Baccarella, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 393 Moffitt Blvd, Islip, NY 11751 Phone: 631-581-0006 Fax: 631-581-0990 | |
Khadim Hussain Betts, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 152 Islip Ave, Ste. 15, Islip, NY 11751 Phone: 631-277-6767 | |
Feliz Solis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 152 Islip Ave Ste 15, Islip, NY 11751 Phone: 631-277-6767 Fax: 631-277-4311 |