| Victoria Moulder, | |
|
3556 Island Rd, Wantagh, NY 11793-3337 | |
| (516) 428-5121 | |
| Not Available |
| Full Name | Victoria Moulder |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3556 Island Rd, Wantagh, 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 |
|---|---|---|---|
| 1003699786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 050788 (New York) | Primary |
| Provider Name | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603 |
| Mailing Address | Practice Location Address |
|---|---|
| Victoria Moulder, 3556 Island Rd, Wantagh, NY 11793-3337 Ph: () - | Victoria Moulder, 3556 Island Rd, Wantagh, NY 11793-3337 Ph: (516) 428-5121 |
Mrs. Michele J Hoerning, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2850 N Jerusalem Rd, Wantagh, NY 11793 Phone: 516-396-2670 | |
Efraim Kutner, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2871 Riverside Dr, Wantagh, NY 11793 Phone: 516-783-8513 | |
Mrs. Daniella Leone, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 747 Wantagh Ave, Wantagh, NY 11793 Phone: 516-628-7700 Fax: 516-279-1373 | |
Matthew Buchner, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3305 Jerusalem Ave Ste 207, Wantagh, NY 11793 Phone: 516-660-4942 Fax: 516-544-4322 | |
Michael William Teves, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1169 Wantagh Ave, Wantagh, NY 11793 Phone: 516-826-9873 | |
Ms. Kaitlin Cahill, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1452 Holiday Park Dr, Wantagh, NY 11793 Phone: 516-783-1453 |