Mr Diether Paul Ofaril Quintana, DPT | |
13668 Roosevelt Ave Ste 5c, Flushing, NY 11354-5510 | |
(956) 539-9631 | |
Not Available |
Full Name | Mr Diether Paul Ofaril Quintana |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 13668 Roosevelt Ave Ste 5c, Flushing, 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 |
---|---|---|---|
1518550342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 042926 (New York) | Primary |
Provider Name | Parcare Community Health Network Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730454083 PECOS PAC ID: 4981823390 Enrollment ID: O20140917002207 |
Provider Name | New York Luna Care Physical Therapy Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194314062 PECOS PAC ID: 0840604666 Enrollment ID: O20210205001168 |
Provider Name | Physical Therapy Services Of Flatiron Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1134705676 PECOS PAC ID: 1759784085 Enrollment ID: O20210726000124 |
Provider Name | Quinta Physical Therapy Pc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1457032419 PECOS PAC ID: 8022472091 Enrollment ID: O20230908001691 |
Mailing Address | Practice Location Address |
---|---|
Mr Diether Paul Ofaril Quintana, DPT 3275 44th St Apt 1r, Astoria, NY 11103-2312 Ph: (956) 539-9631 | Mr Diether Paul Ofaril Quintana, DPT 13668 Roosevelt Ave Ste 5c, Flushing, NY 11354-5510 Ph: (956) 539-9631 |
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