Mr Rene Ariel Mayoga Sison, | |
5 Kenilworth Rd, Yonkers, NY 10701-5203 | |
(917) 609-6694 | |
Not Available |
Full Name | Mr Rene Ariel Mayoga Sison |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 23 Years |
Location | 5 Kenilworth Rd, Yonkers, 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 |
---|---|---|---|
1871700880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 023605-1 (New York) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Esd Pt Ot And Slp Pllc | 5991044125 | 101 |
Provider Name | Esd Pt Ot & Slp Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003383308 PECOS PAC ID: 5991044125 Enrollment ID: O20190305001668 |
Mailing Address | Practice Location Address |
---|---|
Mr Rene Ariel Mayoga Sison, 5 Kenilworth Rd, Yonkers, NY 10701-5203 Ph: (917) 609-6694 | Mr Rene Ariel Mayoga Sison, 5 Kenilworth Rd, Yonkers, NY 10701-5203 Ph: (917) 609-6694 |
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