Patrick Mancini, DPT | |
55 Bryant Ave Fl 2, Roslyn, NY 11576-1139 | |
(516) 484-9775 | |
Not Available |
Full Name | Patrick Mancini |
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Gender | Male |
Speciality | Physical Therapist |
Location | 55 Bryant Ave Fl 2, Roslyn, 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 |
---|---|---|---|
1528642220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 047156-01 (New York) | Primary |
Provider Name | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603 |
Mailing Address | Practice Location Address |
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Patrick Mancini, DPT 1718 Linden Pl, Merrick, NY 11566-1205 Ph: () - | Patrick Mancini, DPT 55 Bryant Ave Fl 2, Roslyn, NY 11576-1139 Ph: (516) 484-9775 |
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