| Dr Jessica Lazaro, DPT | |
|
111 Sullivan Ave, Suite 1-6, Ferndale, NY 12734-4315 | |
| (845) 292-0890 | |
| (845) 292-0940 |
| Full Name | Dr Jessica Lazaro |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 16 Years |
| Location | 111 Sullivan Ave, Ferndale, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639138191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 020763 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Excel Physical Therapy And Wellness, Pc | 6800807272 | 2 |
| Provider Name | Excel Physical Therapy & Wellness, Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1265482954 PECOS PAC ID: 6800807272 Enrollment ID: O20060523000060 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica Lazaro, DPT 111 Sullivan Ave, Suite 1-6, Ferndale, NY 12734-4315 Ph: (845) 292-0890 | Dr Jessica Lazaro, DPT 111 Sullivan Ave, Suite 1-6, Ferndale, NY 12734-4315 Ph: (845) 292-0890 |
Mr. Joseph D Lazaro, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 111 Sullivan Ave, Suite 1-6, Ferndale, NY 12734 Phone: 845-292-0890 Fax: 845-292-0940 | |
Excel Physical Therapy & Wellness, Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 111 Sullivan Ave, Suite 1-6, Ferndale, NY 12734 Phone: 845-292-0890 Fax: 845-292-0940 | |
Mrs. Tami Alexis Doyle, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 301 Lt Brender Hwy, Ferndale, NY 12734 Phone: 845-292-3427 |