| Pamela Mary Manganello, | |
|
15 Rosalie Pl, Patchogue, NY 11772-2977 | |
| (303) 523-2727 | |
| Not Available |
| Full Name | Pamela Mary Manganello |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 15 Rosalie Pl, Patchogue, 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 |
|---|---|---|---|
| 1588890602 | NPI | - | NPPES |
| 020598-1 | Other | NY | LICENSE |
| 10650 | Other | CA | OCCUPATIONAL THERAPIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 10650 (California) | Primary |
| 225X00000X | Occupational Therapist | 020598-1 (New York) | Secondary |
| Provider Name | Medcare Therapy Services:physical, Occupational & Massage Therapy,pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326355132 PECOS PAC ID: 4789871773 Enrollment ID: O20101202000904 |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Mary Manganello, 15 Rosalie Pl, Patchogue, NY 11772-2977 Ph: (303) 523-2727 | Pamela Mary Manganello, 15 Rosalie Pl, Patchogue, NY 11772-2977 Ph: (303) 523-2727 |
Marguerite Mccabe, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Sunrise Hwy, Patchogue, NY 11772 Phone: 631-289-2200 | |
Lori Jean Amodio, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 46 W 2nd St, Patchogue, NY 11772 Phone: 631-774-3759 | |
Mr. Kevin James Daly, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 183 Washington Ave, Patchogue, NY 11772 Phone: 703-966-7868 | |
Allyson Brodsky-matwey, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Sunrise Hwy, Patchogue, NY 11772 Phone: 631-289-2200 | |
Mr. Ben Robert Moston, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 114 Gillette Ave, Patchogue, NY 11772 Phone: 631-730-5212 | |
Ms. Jenna Kathryn Morlock, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 426 Clubhouse Dr, Patchogue, NY 11772 Phone: 516-439-7272 | |
Renae L Hansen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 92 N Prospect Ave, Patchogue, NY 11772 Phone: 631-569-4755 |