| Kalliopi K Nestor, MD | |
|
1001 E 2nd St, Coudersport, PA 16915-8161 | |
| (814) 274-9300 | |
| Not Available |
| Full Name | Kalliopi K Nestor |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 26 Years |
| Location | 1001 E 2nd St, Coudersport, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720194608 | NPI | - | NPPES |
| 1906113 | Other | PA | BLUE SHIELD |
| MD429725 | Other | PA | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | MD429725 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Canton-potsdam Hospital | Potsdam, NY | Hospital |
| Gouverneur Hospital | Gouverneur, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Canton-potsdam Hospital | 6204827280 | 199 |
| Entity Name | Canton-potsdam Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
| Entity Name | Physical Medicine & Rehabilitation Of Long Island |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003293366 PECOS PAC ID: 4486966157 Enrollment ID: O20150709000313 |
| Mailing Address | Practice Location Address |
|---|---|
| Kalliopi K Nestor, MD 1001 E 2nd St, Coudersport, PA 16915-8161 Ph: () - | Kalliopi K Nestor, MD 1001 E 2nd St, Coudersport, PA 16915-8161 Ph: (814) 274-9300 |
Mrs. Adriane Elizabeth Biancuzzo, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1001 E 2nd St, Coudersport, PA 16915 Phone: 814-274-9300 | |
Eileen Powell, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1001 East Second Street, Coudersport, PA 16915 Phone: 814-274-9300 |