| Malik Campbell, | |
|
559 Gramatan Ave Ste 203-205, Fleetwood, NY 10552-2155 | |
| (914) 371-1990 | |
| Not Available |
| Full Name | Malik Campbell |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 559 Gramatan Ave Ste 203-205, Fleetwood, 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 |
|---|---|---|---|
| 1346015708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 051191 (New York) | Primary |
| Provider Name | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603 |
| Provider Name | Professional Occupational & Physical Therapy, Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1205296902 PECOS PAC ID: 3779873401 Enrollment ID: O20160608000715 |
| Mailing Address | Practice Location Address |
|---|---|
| Malik Campbell, 576 Broadhollow Rd, Melville, NY 11747-5002 Ph: (631) 359-5859 | Malik Campbell, 559 Gramatan Ave Ste 203-205, Fleetwood, NY 10552-2155 Ph: (914) 371-1990 |
Sally Platt, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 559 Gramatan Ave Ste 203, Fleetwood, NY 10552 Phone: 914-313-8034 | |
Dr. Anne Catherine Patti, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 559 Gramatan Ave Ste 203-205, Fleetwood, NY 10552 Phone: 914-371-1990 Fax: 914-371-7588 | |
Mrs. Angela Schonberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 485 Gramatan Ave Apt 1k, Fleetwood, NY 10552 Phone: 914-396-9618 |