Newyork Gao Physical Therapy | |
116 N Central Ave Hartsdale NY 10530-1910 | |
(914) 421-1600 | |
Not Available |
Full Name | Newyork Gao Physical Therapy |
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Speciality | Clinic/Center |
Location | 116 N Central Ave, Hartsdale, New York |
Authorized Official Name and Position | Greg X Gao (PRESIDENT) |
Authorized Official Contact | 9144211600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Newyork Gao Physical Therapy 116 N Central Ave Hartsdale NY 10530-1910 Ph: (914) 421-1600 | Newyork Gao Physical Therapy 116 N Central Ave Hartsdale NY 10530-1910 Ph: (914) 421-1600 |
NPI Number | 1467628172 |
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Provider Enumeration Date | 05/02/2008 |
Last Update Date | 05/02/2008 |
Medicare PECOS PAC ID | 7416088588 |
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Medicare Enrollment ID | O20100707000001 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467628172 | NPI | - | NPPES |
Q23041 | Other | NY | MEDICARE PROVIDER ID# |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 013918-1 (New York) | Primary |
Provider Name | Xingong Gao |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1013998962 PECOS PAC ID: 5092847012 Enrollment ID: I20100709000360 |
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