| Generation Nextwave | |
|
41 Church Rd, Great River, NY 11739-3023 | |
| (631) 921-1277 | |
| (631) 277-0944 |
| Full Name | Generation Nextwave |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 41 Church Rd, Great River, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578837563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 018199-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Generation Nextwave Po Box 799, Great River, NY 11739-0799 Ph: (631) 921-1277 | Generation Nextwave 41 Church Rd, Great River, NY 11739-3023 Ph: (631) 921-1277 |
Allison Kay Delmar, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3500 Sunrise Hwy Ste 111, Great River, NY 11739 Phone: 631-650-6545 | |
Karen Lincoln Conzo, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 41 Church Rd, Great River, NY 11739 Phone: 631-921-1277 |