Regine Lesly Souverain, PT | |
15050 14th Rd, Whitestone, NY 11357-2609 | |
(718) 767-0091 | |
Not Available |
Full Name | Regine Lesly Souverain |
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Gender | Female |
Speciality | Physical Therapist |
Location | 15050 14th Rd, Whitestone, 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 |
---|---|---|---|
1881947950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 028676-1 (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 |
---|---|
Regine Lesly Souverain, PT 10053 222nd St, Queens Village, NY 11429-1678 Ph: (917) 805-9233 | Regine Lesly Souverain, PT 15050 14th Rd, Whitestone, NY 11357-2609 Ph: (718) 767-0091 |
Thomas Chang, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2142 Utopia Pkwy, Whitestone, NY 11357 Phone: 718-767-0610 Fax: 718-767-0260 | |
Stephanie Lescouflair, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2142 Utopia Pkwy, Whitestone, NY 11357 Phone: 718-767-0260 Fax: 718-767-0260 | |
Khalid Aboelmaaty, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1752 Francis Lewis Blvd, Whitestone, NY 11357 Phone: 917-724-4330 Fax: 718-746-4963 | |
Raymon Lukose, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2142 Utopia Pkwy, Whitestone, NY 11357 Phone: 718-767-0610 Fax: 516-750-9076 | |
Richard Victor Lenz, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2142 Utopia Pkwy, Whitestone, NY 11357 Phone: 718-767-0610 Fax: 718-767-0260 | |
Mingshang Yu, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15714 20th Rd, Whitestone, NY 11357 Phone: 646-867-9686 | |
Dr. Frank Anthony Cesare, D.P.T Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 15047b 14th Ave, Whitestone, NY 11357 Phone: 917-642-6188 Fax: 718-228-7559 |