Khashayar Yousefian, | |
1670 George St Apt 2l, Ridgewood, NY 11385-5343 | |
(408) 667-7548 | |
Not Available |
Full Name | Khashayar Yousefian |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1670 George St Apt 2l, Ridgewood, 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 |
---|---|---|---|
1003525270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 049745 (New York) | Primary |
Provider Name | Evolve Physical Therapy, Pllc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1215216288 PECOS PAC ID: 2668644527 Enrollment ID: O20111019000152 |
Mailing Address | Practice Location Address |
---|---|
Khashayar Yousefian, 1670 George St Apt 2l, Ridgewood, NY 11385-5343 Ph: (408) 667-7548 | Khashayar Yousefian, 1670 George St Apt 2l, Ridgewood, NY 11385-5343 Ph: (408) 667-7548 |
Redcore Physical Therapy And Rehabiitation Physical Therapist Medicare: Medicare Enrolled Practice Location: 311 St Nicholas Avenue, Suite E- Basement, Ridgewood, NY 11385 Phone: 718-509-9888 Fax: 718-509-6144 | |
Bhavna Rajesh Devnani, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 929-299-6505 | |
Stacie Malner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1666 Hancock St, Ridgewood, NY 11385 Phone: 718-456-7588 | |
Bryan Joseph Gicana De La Cruz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 865 Cypress Ave, Ridgewood, NY 11385 Phone: 848-667-0943 Fax: 848-667-0943 | |
Jamelle Rosette Santos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-456-2545 Fax: 718-559-6784 | |
Ruchi Modi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-456-2545 Fax: 718-559-6784 |