| Elizabeth Seton Children's Rehabilitation Center | |
|
317 North St White Plains NY 10605-2209 | |
| (914) 597-4100 | |
| (914) 597-4012 |
| Full Name | Elizabeth Seton Children's Rehabilitation Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 317 North St, White Plains, New York |
| Authorized Official Name and Position | M. Carla Perruccio (CFO) |
| Authorized Official Contact | 9142946128 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Seton Children's Rehabilitation Center 317 North St White Plains NY 10605-2209 Ph: (914) 597-4100 | Elizabeth Seton Children's Rehabilitation Center 317 North St White Plains NY 10605-2209 Ph: (914) 597-4100 |
| NPI Number | 1316279847 |
|---|---|
| Provider Enumeration Date | 02/09/2010 |
| Last Update Date | 07/18/2023 |
| Medicare PECOS PAC ID | 3274714753 |
|---|---|
| Medicare Enrollment ID | O20110217000413 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316279847 | NPI | - | NPPES |
| 03217705 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | 5902212R (New York) | Primary |
| Provider Name | Shahid Parvez |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265434922 PECOS PAC ID: 2769465806 Enrollment ID: I20040610000544 |
| Provider Name | Liliah Cantor |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760484554 PECOS PAC ID: 1052363652 Enrollment ID: I20050211000226 |
| Provider Name | Ralph A Pici |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1396843702 PECOS PAC ID: 9739205634 Enrollment ID: I20100929000009 |
| Provider Name | Maria A Pici |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922008762 PECOS PAC ID: 9335320712 Enrollment ID: I20110217000446 |
| Provider Name | Amanda C Ayala |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1982839106 PECOS PAC ID: 7214180066 Enrollment ID: I20130104000095 |
| Provider Name | Louis Dizon |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1023017332 PECOS PAC ID: 2668542614 Enrollment ID: I20160818001853 |
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