| Mike Traikov, DPT | |
|
6884 Maple Ave, Sodus, NY 14551-9303 | |
| (315) 483-9118 | |
| Not Available |
| Full Name | Mike Traikov |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 6884 Maple Ave, Sodus, 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 |
|---|---|---|---|
| 1740838309 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 044549 (New York) | Primary |
| Provider Name | Pennsylvania Luna Care Physical Therapy LLC |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528689445 PECOS PAC ID: 7012338973 Enrollment ID: O20200601001529 |
| Mailing Address | Practice Location Address |
|---|---|
| Mike Traikov, DPT 6884 Maple Ave, Sodus, NY 14551-9303 Ph: (315) 483-9118 | Mike Traikov, DPT 6884 Maple Ave, Sodus, NY 14551-9303 Ph: (315) 483-9118 |
Rowena Perez Dela Rosa, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6884 Maple Avenue, Sodus, NY 14551 Phone: 315-483-2000 |
Mrs. Marie Arlene Weinstein, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6884 Maple Ave., Blossom View Outpatient Rehabilitation Center, Sodus, NY 14551 Phone: 315-483-2000 Fax: 315-483-9432 |