| Mr Christian Bancaya Olivares, PT | |
|
23 Lace Ln, Westbury, NY 11590-6314 | |
| (646) 431-5900 | |
| Not Available |
| Full Name | Mr Christian Bancaya Olivares |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 28 Years |
| Location | 23 Lace Ln, Westbury, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285718247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 021803 (New York) | Primary |
| Provider Name | Epic Long Island |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174563936 PECOS PAC ID: 7315835907 Enrollment ID: O20040305000757 |
| Provider Name | Epic Medical Services Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134589609 PECOS PAC ID: 8628365582 Enrollment ID: O20160921001908 |
| Provider Name | Mobility Pro Pt Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528537891 PECOS PAC ID: 0749524262 Enrollment ID: O20181210002166 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Christian Bancaya Olivares, PT 23 Lace Ln, Westbury, NY 11590-6314 Ph: (516) 385-8396 | Mr Christian Bancaya Olivares, PT 23 Lace Ln, Westbury, NY 11590-6314 Ph: (646) 431-5900 |
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