Vineyard Complementary Medicine, Inc | |
238 Edgartown Vineyard Haven Road, Unit 1, Edgartown, MA 02539-6932 | |
(508) 693-3800 | |
(508) 693-7473 |
Full Name | Vineyard Complementary Medicine, Inc |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 238 Edgartown Vineyard Haven Road, Edgartown, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053490896 | NPI | - | NPPES |
Y61445 | Other | MA | BCBS OF MA |
AA52541 | Other | HPHC |
Provider Name | Susan A Sanford |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1104905934 PECOS PAC ID: 1759324999 Enrollment ID: I20050610000214 |
Provider Name | Zachary Gabor |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1417325861 PECOS PAC ID: 3971813767 Enrollment ID: I20160505000282 |
Provider Name | Elizabeth Ann Zeller |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1861024143 PECOS PAC ID: 4183051295 Enrollment ID: I20200303000867 |
Provider Name | Madison L Horner |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1215521836 PECOS PAC ID: 7719396969 Enrollment ID: I20210429001937 |
Provider Name | Lauren Vukota |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720746969 PECOS PAC ID: 5294120986 Enrollment ID: I20230913003311 |
Provider Name | Camille Snyder |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1720299878 PECOS PAC ID: 6709924319 Enrollment ID: I20240522000260 |
Mailing Address | Practice Location Address |
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Vineyard Complementary Medicine, Inc Po Box 1760, Edgartown, MA 02539-1760 Ph: (508) 693-3800 | Vineyard Complementary Medicine, Inc 238 Edgartown Vineyard Haven Road, Unit 1, Edgartown, MA 02539-6932 Ph: (508) 693-3800 |