| Gary A. Despres Physical Therapy P.c. | |
|
53345 Main Road, Building 8 Unit 1, Southold, NY 11971-4643 | |
| (631) 806-2179 | |
| Not Available |
| Full Name | Gary A. Despres Physical Therapy P.c. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 53345 Main Road, Southold, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144999053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Gary A Despres |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639380892 PECOS PAC ID: 2769635564 Enrollment ID: I20130103000156 |
| Mailing Address | Practice Location Address |
|---|---|
| Gary A. Despres Physical Therapy P.c. 875 S Harbor Rd, Southold, NY 11971-4516 Ph: (631) 806-2179 | Gary A. Despres Physical Therapy P.c. 53345 Main Road, Building 8 Unit 1, Southold, NY 11971-4643 Ph: (631) 806-2179 |
Madison Gore, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 46520 County Road 48, Southold, NY 11971 Phone: 631-765-9389 | |
Ms. Lynn A Cataldo, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 57190 Main Rd, Southold, NY 11971 Phone: 631-765-3620 Fax: 631-765-0013 | |
Karen Christine Mitchell, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 775 Hummel Ave, Southold, NY 11971 Phone: 631-765-8417 | |
Noreen Bawn Kelly, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 375 Kenneys Rd, Southold, NY 11971 Phone: 631-245-2813 | |
Mary E Whyard, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 690 Oriole Dr, Southold, NY 11971 Phone: 516-658-7215 | |
Mr. Daniel R Charlebois, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 46520 North Rd, Southold, NY 11971 Phone: 631-765-9389 Fax: 631-765-9369 |