| Advanced Rehabilitation, P.c. | |
|
2305 Hylon Blvd., Staten Island, NY 10306 | |
| (718) 667-0297 | |
| (718) 667-1945 |
| Full Name | Advanced Rehabilitation, P.c. |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 2305 Hylon Blvd., Staten Island, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275727158 | NPI | - | NPPES |
| 058402 | Other | NJ | MEDICARE PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 015531 (New York) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 40QA01008700 (New Jersey) | Primary |
| Provider Name | Julia Sapoff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013934926 PECOS PAC ID: 6002807237 Enrollment ID: I20090714000669 |
| Provider Name | Gyulnara Avshalumova |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154435311 PECOS PAC ID: 3678744000 Enrollment ID: I20141111000358 |
| Provider Name | Tanya Hankins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205981560 PECOS PAC ID: 2769705839 Enrollment ID: I20141222000147 |
| Provider Name | Natallia Hutman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043521396 PECOS PAC ID: 8527250570 Enrollment ID: I20170526000693 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Rehabilitation, P.c. 2305 Hylan Blvd., Staten Island, NY 10306 Ph: (718) 667-0297 | Advanced Rehabilitation, P.c. 2305 Hylon Blvd., Staten Island, NY 10306 Ph: (718) 667-0297 |