Mr Jeffrey Lackowitz, PT | |
440 Waverly Ave Ste 5, Patchogue, NY 11772-1597 | |
(631) 758-5700 | |
(631) 758-7005 |
Full Name | Mr Jeffrey Lackowitz |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 31 Years |
Location | 440 Waverly Ave Ste 5, Patchogue, 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 |
---|---|---|---|
1326140328 | NPI | - | NPPES |
5442410 | Other | NY | AETNA |
102491 | Other | NY | VYTRA |
2284678 | Other | NY | AETNA |
940212 | Other | NY | HERITAGE |
AZ00653 | Other | NY | MDNY |
1437802 | Other | NY | FIRST HEALTH |
Q49881 | Other | NY | EMPIRE BLUE CROSS |
P1948798 | Other | NY | OXFORD |
1380287 | Other | NM | UNITED HEALTH CARE |
20593P | Other | NY | HIP |
SF0003106 | Other | NY | SELECT PRO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 014079-1 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Motion Dynamics Physical Therapy Pc | 4385711258 | 2 |
Provider Name | Motion Dynamics Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1306022272 PECOS PAC ID: 4385711258 Enrollment ID: O20080918000010 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeffrey Lackowitz, PT 440 Waverly Ave Ste 5, Patchogue, NY 11772-1597 Ph: (631) 758-5700 | Mr Jeffrey Lackowitz, PT 440 Waverly Ave Ste 5, Patchogue, NY 11772-1597 Ph: (631) 758-5700 |
Ronald Amaya Lopez, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 322 W Main St, Patchogue, NY 11772 Phone: 631-228-4977 | |
Sungguk Bae, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Cleveland St, Patchogue, NY 11772 Phone: 631-569-9373 | |
Nicole Marie Divirgilio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 Route 112 Ste F, Patchogue, NY 11772 Phone: 631-207-2370 | |
John Lowe Wilson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Theresa Ct, Patchogue, NY 11772 Phone: 631-730-3326 | |
Danielle M Bousquet, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 Medford Ave, Patchogue, NY 11772 Phone: 631-758-1910 | |
Stephanie Lauren Vanschaick, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 77 Medford Ave, Patchogue, NY 11772 Phone: 631-758-1910 Fax: 631-758-1984 | |
Kathleen Alyssa Bailey, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 322 W Main St, Patchogue, NY 11772 Phone: 631-228-4977 |