Mr Thomas Graham Conway, OTR/L | |
12 Platinum Ct, Medford, NY 11763-2247 | |
(631) 286-6166 | |
Not Available |
Full Name | Mr Thomas Graham Conway |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 12 Platinum Ct, Medford, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881258911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 023529-1 (New York) | Primary |
Provider Name | Home Advantage Occupational Therapy, P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730467572 PECOS PAC ID: 4385819218 Enrollment ID: O20111205000611 |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas Graham Conway, OTR/L 2468 Haff Ave, North Bellmore, NY 11710-2738 Ph: (347) 254-9973 | Mr Thomas Graham Conway, OTR/L 12 Platinum Ct, Medford, NY 11763-2247 Ph: (631) 286-6166 |
Mrs. Danielle Genaway, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Deering Ct, Medford, NY 11763 Phone: 631-286-2871 Fax: 631-286-2871 | |
Melissa Pelaez, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1733 N Ocean Ave Ste A, Medford, NY 11763 Phone: 631-207-3600 | |
Jennifer Wellman, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 12 Platinum Ct Ste B, Medford, NY 11763 Phone: 631-320-3692 | |
Mrs. Ivonne Barrios, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7 Georgia Pine Pl, Medford, NY 11763 Phone: 631-512-9963 | |
Mrs. Domenica Disalvo Potter, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Long Acre Ct, Medford, NY 11763 Phone: 632-675-4511 Fax: 631-675-4503 |