| Utpal M Panchal, PT | |
|
372 Avenue U, Suite Ll3, Brooklyn, NY 11223-4018 | |
| (718) 372-1690 | |
| (718) 372-1691 |
| Full Name | Utpal M Panchal |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 372 Avenue U, 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 |
|---|---|---|---|
| 1033547344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 034382 (New York) | Primary |
| Provider Name | Ultra Comprehensive Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1295271310 PECOS PAC ID: 9537446570 Enrollment ID: O20170501001410 |
| Mailing Address | Practice Location Address |
|---|---|
| Utpal M Panchal, PT 246 Clifton Ave, Clifton, NJ 07011-1900 Ph: (862) 899-7900 | Utpal M Panchal, PT 372 Avenue U, Suite Ll3, Brooklyn, NY 11223-4018 Ph: (718) 372-1690 |
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Ms. Renee Kimberly Dance, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 254a Brooklyn Ave, Brooklyn, NY 11213 Phone: 347-783-9408 | |
Ms. Shirley Ann Coffey, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 433 64th St, Brooklyn, NY 11220 Phone: 718-594-0740 | |
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