| Great South Bay Physical Therapy & Sports Rehabilitation Pc | |
|
393 Moffitt Blvd, Islip, NY 11751 | |
| (631) 581-0006 | |
| (631) 581-0990 |
| Full Name | Great South Bay Physical Therapy & Sports Rehabilitation Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 393 Moffitt Blvd, Islip, 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 |
|---|---|---|---|
| 1649318460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 0240191 (New York) | Primary |
| Provider Name | Cosmo P Baccarella |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174661995 PECOS PAC ID: 7012975964 Enrollment ID: I20041227000140 |
| Mailing Address | Practice Location Address |
|---|---|
| Great South Bay Physical Therapy & Sports Rehabilitation Pc 393 Moffitt Blvd, Islip, NY 11751-2708 Ph: (631) 581-0006 | Great South Bay Physical Therapy & Sports Rehabilitation Pc 393 Moffitt Blvd, Islip, NY 11751 Ph: (631) 581-0006 |
Sean Thomas Luzzi, Physical Therapist Medicare: Medicare Enrolled Practice Location: 152 Islip Ave Ste 23, Islip, NY 11751 Phone: 631-277-6767 | |
Raluchukwu Okonkwo Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 59 38th Street, Islip, NY 11751 Phone: 631-355-6425 | |
Ms. Karlene Elizabeth Braun-oscher, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 202 Wilson Blvd, 202 Wilson Blvd, Islip, NY 11751 Phone: 631-431-6564 Fax: 631-277-5005 | |
Mr. Cosmo Philip Baccarella, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 393 Moffitt Blvd, Islip, NY 11751 Phone: 631-581-0006 Fax: 631-581-0990 | |
Khadim Hussain Betts, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 152 Islip Ave, Ste. 15, Islip, NY 11751 Phone: 631-277-6767 | |
Feliz Solis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 152 Islip Ave Ste 15, Islip, NY 11751 Phone: 631-277-6767 Fax: 631-277-4311 | |
Glenn Harris Segal, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 152 Islip Ave, Ste.15, Islip, NY 11751 Phone: 631-277-6767 Fax: 631-277-4311 |