Teresa Bianchi, MA PT | |
521 Route 111 Ste 107, Hauppauge, NY 11788-4358 | |
(631) 724-9509 | |
Not Available |
Full Name | Teresa Bianchi |
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Gender | Female |
Speciality | Physical Therapist |
Location | 521 Route 111 Ste 107, Hauppauge, 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 |
---|---|---|---|
1831558501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 011635 (New York) | Primary |
Provider Name | Montefiore Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
Mailing Address | Practice Location Address |
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Teresa Bianchi, MA PT 145 Brookside Ave, North Babylon, NY 11703-4922 Ph: () - | Teresa Bianchi, MA PT 521 Route 111 Ste 107, Hauppauge, NY 11788-4358 Ph: (631) 724-9509 |
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