Samuel Warmberg, DPT | |
1411 Avenue N, Apt F1, Brooklyn, NY 11230-5963 | |
(347) 570-9258 | |
Not Available |
Full Name | Samuel Warmberg |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1411 Avenue N, Brooklyn, 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 |
---|---|---|---|
1366796336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | P86190 (New York) | Secondary |
225100000X | Physical Therapist | 036221 (New York) | Primary |
Provider Name | Homeside Rehab Pt Ot Slp Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023258431 PECOS PAC ID: 7810045309 Enrollment ID: O20090512000199 |
Provider Name | Ahava Medical And Rehabilitation Center, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184878274 PECOS PAC ID: 1557416997 Enrollment ID: O20090908000443 |
Mailing Address | Practice Location Address |
---|---|
Samuel Warmberg, DPT 1411 Avenue N, Apt F1, Brooklyn, NY 11230-5963 Ph: (347) 570-9258 | Samuel Warmberg, DPT 1411 Avenue N, Apt F1, Brooklyn, NY 11230-5963 Ph: (347) 570-9258 |
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