| Moon Rehab Pt Pc | |
|
3719 108th St, Corona, NY 11368-4176 | |
| (718) 406-9032 | |
| (917) 745-1561 |
| Full Name | Moon Rehab Pt Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 3719 108th St, Corona, 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 |
|---|---|---|---|
| 1114388931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Mahmoud A El Sayed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1447563945 PECOS PAC ID: 9931375912 Enrollment ID: I20111221000440 |
| Provider Name | Pragna Sadula |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669915534 PECOS PAC ID: 6406136142 Enrollment ID: I20161215000061 |
| Provider Name | Changmin Han |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124566898 PECOS PAC ID: 3173806338 Enrollment ID: I20170214000043 |
| Provider Name | Ahmad Abdalmonum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528599636 PECOS PAC ID: 2769721521 Enrollment ID: I20190222001410 |
| Provider Name | Vaidehi K Ramani |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336785427 PECOS PAC ID: 2567895303 Enrollment ID: I20191209001259 |
| Provider Name | Eunjung Nam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457833683 PECOS PAC ID: 5799111068 Enrollment ID: I20200204002672 |
| Provider Name | Soojung Jung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518583103 PECOS PAC ID: 2062837719 Enrollment ID: I20200729001341 |
| Provider Name | Cheonjun Park |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427707645 PECOS PAC ID: 0749676542 Enrollment ID: I20220404001795 |
| Provider Name | Riddhi Jitendrakumar Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922735869 PECOS PAC ID: 3173906567 Enrollment ID: I20220817003396 |
| Provider Name | Chand Parveen Parveen Shaik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497468284 PECOS PAC ID: 3375914302 Enrollment ID: I20230130000866 |
| Mailing Address | Practice Location Address |
|---|---|
| Moon Rehab Pt Pc 1045 Chestnut St, Valley Stream, NY 11580-2157 Ph: () - | Moon Rehab Pt Pc 3719 108th St, Corona, NY 11368-4176 Ph: (718) 406-9032 |
Dongeon Kim, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3310 101st St Fl 2, Corona, NY 11368 Phone: 347-708-1294 | |
Corona Physical Therapy Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 10318 39th Ave, Suite 1, Corona, NY 11368 Phone: 718-205-1513 Fax: 646-304-8252 | |
Physioterra Pt Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3770 103rd St, Corona, NY 11368 Phone: 917-832-7217 Fax: 917-832-7486 | |
Charisse Dianne Oralde, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 10825 Horace Harding Expy, Corona, NY 11368 Phone: 732-399-9700 | |
Jennifer Angeles, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5515 98th St, Apt. 2nd Floor, Corona, NY 11368 Phone: 347-781-9645 | |
Ferrie Dashlee Enriquez Quintana, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5525 98th St Apt 4h, Corona, NY 11368 Phone: 718-377-5000 Fax: 718-377-5002 | |
Ms. Korina Gahol Galaraga, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3770 103rd St, Corona, NY 11368 Phone: 917-832-7217 Fax: 917-832-7486 |