Mr Christian Bancaya Olivares, PT | |
23 Lace Ln, Westbury, NY 11590-6314 | |
(646) 431-5900 | |
Not Available |
Full Name | Mr Christian Bancaya Olivares |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 26 Years |
Location | 23 Lace Ln, Westbury, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285718247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 021803 (New York) | Primary |
Provider Name | Epic Long Island |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174563936 PECOS PAC ID: 7315835907 Enrollment ID: O20040305000757 |
Provider Name | Epic Medical Services Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134589609 PECOS PAC ID: 8628365582 Enrollment ID: O20160921001908 |
Provider Name | Mobility Pro Pt Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1528537891 PECOS PAC ID: 0749524262 Enrollment ID: O20181210002166 |
Mailing Address | Practice Location Address |
---|---|
Mr Christian Bancaya Olivares, PT 23 Lace Ln, Westbury, NY 11590-6314 Ph: (516) 385-8396 | Mr Christian Bancaya Olivares, PT 23 Lace Ln, Westbury, NY 11590-6314 Ph: (646) 431-5900 |
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