Ms Linda M Mango, PT | |
20 Farm Rd E, Wading River, NY 11792-1718 | |
(631) 929-5737 | |
Not Available |
Full Name | Ms Linda M Mango |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 20 Farm Rd E, Wading River, 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 |
---|---|---|---|
1346601085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 012430-1 (New York) | Primary |
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 |
Mailing Address | Practice Location Address |
---|---|
Ms Linda M Mango, PT 20 Farm Rd E, Wading River, NY 11792-1718 Ph: (631) 929-5737 | Ms Linda M Mango, PT 20 Farm Rd E, Wading River, NY 11792-1718 Ph: (631) 929-5737 |
Mr. William Jantzen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5958 Route 25a, Wading River, NY 11792 Phone: 631-929-8200 Fax: 631-929-8228 | |
Mr. Daniel Bauman, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 5958 Route 25a, Wading River, NY 11792 Phone: 631-929-8200 | |
Leisure Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 6144 Route 25a Ste 13, Wading River, NY 11792 Phone: 631-804-9410 Fax: 631-345-8919 | |
Wading River Physical Therapy, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 5958 Route 25a, Wading River, NY 11792 Phone: 631-929-8200 Fax: 631-929-8228 | |
Professional Orthopedic And Sports Physical Therapy, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6144 Route 25a, Suite 14, Wading River, NY 11792 Phone: 631-929-3277 | |
Mr. Daniel Joseph Pierce, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Cherry Ln, Wading River, NY 11792 Phone: 631-929-3431 |