Summit Physical Therapy And Rehabilitation, Pllc | |
1763 Dutch Broadway, Elmont, NY 11003-5044 | |
(347) 656-4109 | |
Not Available |
Full Name | Summit Physical Therapy And Rehabilitation, Pllc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 1763 Dutch Broadway, Elmont, 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 |
---|---|---|---|
1700327087 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Randolph Bendo |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1679858740 PECOS PAC ID: 6002074663 Enrollment ID: I20120228000732 |
Mailing Address | Practice Location Address |
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Summit Physical Therapy And Rehabilitation, Pllc 1760 Dutch Broadway, Elmont, NY 11003-5006 Ph: (347) 656-4109 | Summit Physical Therapy And Rehabilitation, Pllc 1763 Dutch Broadway, Elmont, NY 11003-5044 Ph: (347) 656-4109 |
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