Soujanya Gutha, | |
10702r Jamaica Ave, Richmond Hill, NY 11418-2239 | |
(718) 880-6465 | |
Not Available |
Full Name | Soujanya Gutha |
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Gender | Female |
Speciality | Physical Therapist |
Location | 10702r Jamaica Ave, Richmond Hill, 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 |
---|---|---|---|
1942953385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Fresh Pond Physical Therapy, P.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508844036 PECOS PAC ID: 4486605342 Enrollment ID: O20050208000670 |
Mailing Address | Practice Location Address |
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Soujanya Gutha, 19732 Foothill Ave, Hollis, NY 11423-1610 Ph: () - | Soujanya Gutha, 10702r Jamaica Ave, Richmond Hill, NY 11418-2239 Ph: (718) 880-6465 |
Aaditya Vaidya, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10509 Jamaica Ave, Richmond Hill, NY 11418 Phone: 718-441-3211 Fax: 718-441-3744 | |
Rameeta Kumari, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 86-07 115th St, Queens, Richmond Hill, NY 11418 Phone: 929-789-2943 | |
Jelica Joy Bernardo Llanillo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 107-02r Jamaica Ave, Richmond Hill, NY 11418 Phone: 347-829-3890 Fax: 347-829-3888 | |
Abdalrahman Hamdy-mohamed Elshaboury, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 107-02 R Jamaica Ave, Richmond Hill, NY 11418 Phone: 347-829-3890 Fax: 347-829-3888 | |
Sohyeon Choi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 107-02 R Jamaica Ave, Richmond Hill, NY 11418 Phone: 347-829-3890 Fax: 347-829-3888 | |
John Philip Montemayor, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 107-02 R Jamaica Ave, Richmond Hill, NY 11418 Phone: 347-829-3890 | |
Mary-ann Mendoza Pabito, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 107-02r Jamaica Ave, Richmond Hill, NY 11618 Phone: 347-829-3890 Fax: 347-829-3888 |