Revolution Running Physical Therapy,pllc | |
971 Main St, Holbrook, NY 11741-1609 | |
(516) 376-9202 | |
Not Available |
Full Name | Revolution Running Physical Therapy,pllc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 971 Main St, Holbrook, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1982292900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Natalie Niemczyk |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1568823037 PECOS PAC ID: 2567757503 Enrollment ID: I20160830000379 |
Mailing Address | Practice Location Address |
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Revolution Running Physical Therapy,pllc 971 Main St, Holbrook, NY 11741-1609 Ph: (516) 376-9202 | Revolution Running Physical Therapy,pllc 971 Main St, Holbrook, NY 11741-1609 Ph: (516) 376-9202 |
Mr. Roger Berkley, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Peachtree Ct, Suite 105, Holbrook, NY 11741 Phone: 631-467-3700 | |
Teresita Corpus, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20 Peachtree Ct, Suite 105, Holbrook, NY 11741 Phone: 631-467-3700 Fax: 631-467-0928 | |
Francisco Albert Rojas Reyes, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 761 Coates Ave, Suite 40, Holbrook, NY 11741 Phone: 516-450-5308 | |
Mr. Stephen Michael Joseph, MA, PT, ATC, CSCS Physical Therapist Medicare: Medicare Enrolled Practice Location: 20 Peachtree Ct, Suite 105, Holbrook, NY 11741 Phone: 631-467-3700 Fax: 631-467-0928 | |
Kathryn Dibenedetto, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 Peachtree Ct, Suite 105, Holbrook, NY 11741 Phone: 631-467-3700 Fax: 631-467-0928 | |
Mrs. Rita Guadno Alinso, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20 Peachtree Ct, #105, Holbrook, NY 11741 Phone: 631-467-3700 Fax: 631-467-0928 | |
Timothy J Cosgriff, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 20 Peachtree Ct, Ste 105, Holbrook, NY 11741 Phone: 631-467-3700 |