Mr William Patrick Doherty, PT | |
75 Park St, Elizabethtown, NY 12932-2300 | |
(518) 873-2408 | |
(518) 873-3205 |
Full Name | Mr William Patrick Doherty |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 75 Park St, Elizabethtown, 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 |
---|---|---|---|
1457498040 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 017068-1 (New York) | Primary |
Provider Name | Elizabethtown Community Hospital |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053656744 PECOS PAC ID: 3577554138 Enrollment ID: O20040521000534 |
Mailing Address | Practice Location Address |
---|---|
Mr William Patrick Doherty, PT 57 Park St, Pobox 772, Elizabethtown, NY 12932-2300 Ph: (518) 873-2422 | Mr William Patrick Doherty, PT 75 Park St, Elizabethtown, NY 12932-2300 Ph: (518) 873-2408 |
Michael J Richards, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 Park Street, Elizabethtown, NY 12932 Phone: 518-873-2408 | |
Dr. Sarah E Gardner, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 75 Park Street, Elizabethtown, NY 12932 Phone: 518-873-6377 Fax: 518-873-3097 | |
Linda Mary Horizny, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 Park St, Elizabethtown, NY 12932 Phone: 518-873-2408 | |
Kevin Robert Bouchard-hall, PHYSICAL THERAPY Physical Therapist Medicare: Medicare Enrolled Practice Location: 66 Park Street, Suite 100, Elizabethtown, NY 12932 Phone: 518-873-2408 Fax: 518-873-3205 | |
Dawn Delmont Klotzko, MS, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 75 Park Street, Elizabethtown, NY 12932 Phone: 518-873-6377 Fax: 518-873-3097 | |
Daniel A Weber, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 66 Park St, Elizabethtown, NY 12932 Phone: 518-873-2408 Fax: 518-873-3205 |