| Gavin Connor Dibble, DPT | |
|
1312 Middle Country Rd, Selden, NY 11784-2514 | |
| (631) 732-0700 | |
| Not Available |
| Full Name | Gavin Connor Dibble |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1312 Middle Country Rd, Selden, 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 |
|---|---|---|---|
| 1396587259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 052589 (New York) | Primary |
| Provider Name | Sherrie Glasser Physical Therapist Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912099540 PECOS PAC ID: 0648169276 Enrollment ID: O20090601000014 |
| Provider Name | Medcare Therapy Services:physical, Occupational & Massage Therapy,pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1326355132 PECOS PAC ID: 4789871773 Enrollment ID: O20101202000904 |
| Provider Name | Affinity Rehabilitation Llp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346530169 PECOS PAC ID: 4789843376 Enrollment ID: O20120319000314 |
| Provider Name | Metro Physical Occupational And Speech Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1356742365 PECOS PAC ID: 1254553639 Enrollment ID: O20141120000039 |
| Mailing Address | Practice Location Address |
|---|---|
| Gavin Connor Dibble, DPT 197 Pointe Cir N, Coram, NY 11727-1542 Ph: (631) 566-7607 | Gavin Connor Dibble, DPT 1312 Middle Country Rd, Selden, NY 11784-2514 Ph: (631) 732-0700 |
Ms. Sarah Sy Aldana, M.S. PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 260 Middle Country Rd, # 9-a, Selden, NY 11784 Phone: 631-732-1600 | |
Keith J Pennetti P.t., Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 243 Boyle Rd, Selden, NY 11784 Phone: 631-696-4371 Fax: 631-696-1616 | |
Amy Hauser, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1312 Middle Country Rd, Selden, NY 11784 Phone: 631-732-0700 | |
Laraib Khan, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 30 Adamson St, Selden, NY 11784 Phone: 917-664-1068 | |
Melissa Ann Clayton, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1312 Middle Country Rd, Selden, NY 11784 Phone: 631-732-0700 | |
Prof. Laura Ann Mcmahon-simonetti, PHYSICAL THERAPIST Physical Therapist Medicare: Medicare Enrolled Practice Location: 1312 Middle Country Rd, Selden, NY 11784 Phone: 631-732-0700 Fax: 631-732-9046 | |
Olivia Belusic, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1312 Middle Country Rd, Selden, NY 11784 Phone: 631-732-0700 |