Dr Benjamin D Darragh Jr, DPT | |
476 Gates Ave Apt 2f, Brooklyn, NY 11216-6683 | |
(972) 754-8063 | |
Not Available |
Full Name | Dr Benjamin D Darragh Jr |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 476 Gates Ave Apt 2f, Brooklyn, 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 |
---|---|---|---|
1376214619 | NPI | - | NPPES |
047794 | Other | NY | NEW YORK STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 047794 (New York) | Primary |
Provider Name | Rock Rehab Of Massachusetts Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1235979600 PECOS PAC ID: 3678009545 Enrollment ID: O20241216002429 |
Mailing Address | Practice Location Address |
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Dr Benjamin D Darragh Jr, DPT 476 Gates Ave Apt 2f, Brooklyn, NY 11216-6683 Ph: (972) 754-8063 | Dr Benjamin D Darragh Jr, DPT 476 Gates Ave Apt 2f, Brooklyn, NY 11216-6683 Ph: (972) 754-8063 |
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