| Benjamin A Petersen, PT | |
|
8200 Seneca Tpke, Clinton, NY 13323-1027 | |
| (315) 738-1671 | |
| (315) 738-0942 |
| Full Name | Benjamin A Petersen |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 8200 Seneca Tpke, Clinton, 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 |
|---|---|---|---|
| 1255106571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 051537 (New York) | Primary |
| Provider Name | Helen M Sarandrea Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1730290156 PECOS PAC ID: 8820167745 Enrollment ID: O20080519000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin A Petersen, PT 8200 Seneca Tpke, Clinton, NY 13323-1027 Ph: (315) 738-1671 | Benjamin A Petersen, PT 8200 Seneca Tpke, Clinton, NY 13323-1027 Ph: (315) 738-1671 |
Thomas Kennedy Wick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8200 Seneca Tpke, Clinton, NY 13323 Phone: 315-738-1671 Fax: 315-738-0942 | |
Ms. Michelle T Nunno-evans, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8200 Seneca Tpke, Clinton, NY 13323 Phone: 315-738-1671 | |
Taylor Leigh Nethaway, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 19 Robinson Rd, Clinton, NY 13323 Phone: 315-853-6090 | |
Emily Ann Benthien, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19 Robinson Rd, Clinton, NY 13323 Phone: 315-853-6090 | |
Miss Melissa Brodt, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 8200 Seneca Tpke, Clinton, NY 13323 Phone: 315-738-1671 | |
Trever Gates, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8200 Seneca Tpke, Clinton, NY 13323 Phone: 315-738-1671 Fax: 315-738-0942 |