| Mr Boris Smaris, PT | |
|
179th Street And Linden Blvd, St. Albans, NY 11425-0001 | |
| (718) 526-1000 | |
| Not Available |
| Full Name | Mr Boris Smaris |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 179th Street And Linden Blvd, St. Albans, 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 |
|---|---|---|---|
| 1871559906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 023118 (New York) | Primary |
| Provider Name | Esd Pt Ot & Slp Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003383308 PECOS PAC ID: 5991044125 Enrollment ID: O20190305001668 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Boris Smaris, PT 1815 E 29th St, Brooklyn, NY 11229-2518 Ph: (718) 526-1000 | Mr Boris Smaris, PT 179th Street And Linden Blvd, St. Albans, NY 11425-0001 Ph: (718) 526-1000 |
Ms. Simmy Jose, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 179 Street & Linden Blvd, St. Albans, NY 11425 Phone: 718-526-1000 Fax: 718-289-8531 | |
Mr. Jason Arthungal, MS PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 179th Street And Linden Blvd, St. Albans, NY 11425 Phone: 718-526-1000 Fax: 718-298-8531 | |
Mr. Emson Kokura, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 179 St. & Linden Blvd., St. Albans, NY 11425 Phone: 718-526-1000 |