| Michael Scottodimaso And Tara Derosa, Pt, Ot, Pllc | |
|
51 John St Ste 3, Babylon, NY 11702-2928 | |
| (631) 669-0333 | |
| (631) 669-2436 |
| Full Name | Michael Scottodimaso And Tara Derosa, Pt, Ot, Pllc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 51 John St Ste 3, Babylon, 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 |
|---|---|---|---|
| 1154575074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 0129451 (New York) | Primary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| Provider Name | Michael Scottodimaso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497937056 PECOS PAC ID: 6901969260 Enrollment ID: I20090114000016 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Scottodimaso And Tara Derosa, Pt, Ot, Pllc 51 John St Ste 3, Babylon, NY 11702-2928 Ph: (631) 669-0333 | Michael Scottodimaso And Tara Derosa, Pt, Ot, Pllc 51 John St Ste 3, Babylon, NY 11702-2928 Ph: (631) 669-0333 |
Jacklyn Rose Plonski, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 W Main St Ste 340, Babylon, NY 11702 Phone: 631-661-3180 Fax: 631-661-3183 | |
Tyler Norris, Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 41 John St, Babylon, NY 11702 Phone: 631-621-1100 | |
Ms. Marjorie Johann-murphy, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11 Florence Ct, Babylon, NY 11702 Phone: 631-422-2557 | |
Pierre C Uybarreta, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 W Main St Ste 111, Babylon, NY 11702 Phone: 631-376-0600 Fax: 631-422-3723 | |
Christine Bonczek, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 20 Bacon Ln, Babylon, NY 11702 Phone: 631-893-3187 | |
Brian V. Becker M.a.p.t.pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 41 John St, Babylon, NY 11702 Phone: 631-321-1100 Fax: 631-321-1761 |