Speonk Physical Therapy | |
295 Montauk Highway, Village Square #12, Speonk, NY 11972-0586 | |
(631) 325-3400 | |
(631) 325-3407 |
Full Name | Speonk Physical Therapy |
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Type | Facility |
Speciality | Physical Therapist |
Location | 295 Montauk Highway, Speonk, 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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1730216409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 0260201 (New York) | Primary |
Provider Name | Kelly C Palomo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235260233 PECOS PAC ID: 7719072610 Enrollment ID: I20071008000439 |
Provider Name | Craig A Banger |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073615639 PECOS PAC ID: 9638148273 Enrollment ID: I20100422001145 |
Mailing Address | Practice Location Address |
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Speonk Physical Therapy 100 Maple Ave, Smithtown, NY 11787-3519 Ph: (631) 325-3400 | Speonk Physical Therapy 295 Montauk Highway, Village Square #12, Speonk, NY 11972-0586 Ph: (631) 325-3400 |
Erin M Lavine, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 295 Montauk Hwy, Speonk, NY 11972 Phone: 631-325-3400 Fax: 631-325-3407 | |
Debra S Difrancesco, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 295 Montauk Highway, Store 12 & 13, Speonk, NY 11972 Phone: 631-325-3400 Fax: 631-325-3407 | |
Dr. Kelly C Palomo, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 295 Montauk Highway, Speonk, NY 11972 Phone: 631-325-3400 | |
Mrs. Faye Catanzarite, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 295 Montauk Highway, Speonk, NY 11972 Phone: 631-325-3400 Fax: 631-325-3407 | |
Susan Hearn, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 295 Montauk Hwy, Speonk, NY 11972 Phone: 631-866-6507 Fax: 631-325-3407 |