Platinum Physiatry | |
612 Corporate Way Ste 1m Valley Cottage NY 10989-2027 | |
(718) 362-8182 | |
(718) 414-1651 |
Full Name | Platinum Physiatry |
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Speciality | Clinic/Center |
Location | 612 Corporate Way Ste 1m, Valley Cottage, New York |
Authorized Official Name and Position | Carolina Henriquez (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 7183628182 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Platinum Physiatry 612 Corporate Way Ste 2m Valley Cottage NY 10989-2027 Ph: (718) 362-8182 | Platinum Physiatry 612 Corporate Way Ste 1m Valley Cottage NY 10989-2027 Ph: (718) 362-8182 |
NPI Number | 1346980737 |
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Provider Enumeration Date | 04/01/2022 |
Last Update Date | 04/17/2023 |
Medicare PECOS PAC ID | 1658768767 |
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Medicare Enrollment ID | O20220420000022 |
Identifier | Type | State | Issuer |
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1346980737 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Susanna Shepper |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1164792420 PECOS PAC ID: 3274758115 Enrollment ID: I20160107000071 |
Family Practice Associates Of Rockland, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 Route 303, Valley Cottage, NY 10989 Phone: 845-268-5124 Fax: 845-268-6387 |