Krasilovsky Ny Pt Pllc | |
35 E 35th St Rm 206a New York NY 10016-3823 | |
(231) 564-6389 | |
Not Available |
Full Name | Krasilovsky Ny Pt Pllc |
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Speciality | Clinic/Center |
Location | 35 E 35th St Rm 206a, New York, New York |
Authorized Official Name and Position | Gary Krasilovsky (OWNER/PT) |
Authorized Official Contact | 2034513643 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Krasilovsky Ny Pt Pllc 991 Us Highway 22 Ste 200 Bridgewater NJ 08807-2957 Ph: (231) 564-6389 | Krasilovsky Ny Pt Pllc 35 E 35th St Rm 206a New York NY 10016-3823 Ph: (231) 564-6389 |
NPI Number | 1134847585 |
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Provider Enumeration Date | 08/19/2022 |
Last Update Date | 01/16/2023 |
Medicare PECOS PAC ID | 3072985159 |
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Medicare Enrollment ID | O20230220000541 |
Identifier | Type | State | Issuer |
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1134847585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Sama Khedgikar |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326770850 PECOS PAC ID: 5294101119 Enrollment ID: I20221018002623 |
Provider Name | Gary Krasilovsky |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1295955615 PECOS PAC ID: 8426320276 Enrollment ID: I20230220000572 |
Provider Name | Deepika Kothandaraman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1235904806 PECOS PAC ID: 6204285943 Enrollment ID: I20231207000243 |
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