Cossette Lacy, PT | |
1050 Old Nichold Rd, Islandia, NY 11749-5026 | |
(631) 646-2433 | |
(631) 249-1793 |
Full Name | Cossette Lacy |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1050 Old Nichold Rd, Islandia, 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 |
---|---|---|---|
1760299606 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 053737 (New York) | Primary |
Provider Name | Suffolk Physical Therapy & Chiropractic Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417564253 PECOS PAC ID: 3072927763 Enrollment ID: O20210120001130 |
Mailing Address | Practice Location Address |
---|---|
Cossette Lacy, PT Po Box 1359, Melville, NY 11747-0308 Ph: (631) 249-0011 | Cossette Lacy, PT 1050 Old Nichold Rd, Islandia, NY 11749-5026 Ph: (631) 646-2433 |
Mr. Jacob Kurian, MS,PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 183 Sunflower Ln, Islandia, NY 11749 Phone: 631-630-9115 Fax: 516-873-9522 | |
Scott Guthart, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1770 Motor Pkwy Ste 202, Islandia, NY 11749 Phone: 631-460-5411 | |
Mrs. Abby Elizabeth Vitti, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1770 Motor Pkwy, Suite 202, Islandia, NY 11749 Phone: 631-582-0088 Fax: 631-582-0405 | |
Kelly Nicole Gallo, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1737 Veterans Memorial Hwy, Islandia, NY 11749 Phone: 631-869-4082 | |
Megan Russ, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1770 Motor Pkwy Ste 202, Islandia, NY 11749 Phone: 631-582-0088 | |
C.a. Physical Therapy P.c Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1747 Veterans Memorial Hwy # 21, Islandia, NY 11749 Phone: 631-348-0959 |