| Mr Jeffrey Lackowitz, PT | |
|
440 Waverly Ave Ste 5, Patchogue, NY 11772-1597 | |
| (631) 758-5700 | |
| (631) 758-7005 |
| Full Name | Mr Jeffrey Lackowitz |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 32 Years |
| Location | 440 Waverly Ave Ste 5, Patchogue, 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 |
|---|---|---|---|
| 1326140328 | NPI | - | NPPES |
| 5442410 | Other | NY | AETNA |
| 102491 | Other | NY | VYTRA |
| 2284678 | Other | NY | AETNA |
| 940212 | Other | NY | HERITAGE |
| AZ00653 | Other | NY | MDNY |
| 1437802 | Other | NY | FIRST HEALTH |
| Q49881 | Other | NY | EMPIRE BLUE CROSS |
| P1948798 | Other | NY | OXFORD |
| 1380287 | Other | NM | UNITED HEALTH CARE |
| 20593P | Other | NY | HIP |
| SF0003106 | Other | NY | SELECT PRO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 014079-1 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Metro Physical Occupational Speech Massage Therapy And Acupuncture Pll | 1254553639 | 383 |
| Motion Dynamics Physical Therapy Pc | 4385711258 | 2 |
| Provider Name | Motion Dynamics Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1306022272 PECOS PAC ID: 4385711258 Enrollment ID: O20080918000010 |
| Provider Name | Metro Physical Occupational And Speech Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1356742365 PECOS PAC ID: 1254553639 Enrollment ID: O20141120000039 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffrey Lackowitz, PT 440 Waverly Ave Ste 5, Patchogue, NY 11772-1597 Ph: (631) 758-5700 | Mr Jeffrey Lackowitz, PT 440 Waverly Ave Ste 5, Patchogue, NY 11772-1597 Ph: (631) 758-5700 |
Ronald Amaya Lopez, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 322 W Main St, Patchogue, NY 11772 Phone: 631-228-4977 | |
Sungguk Bae, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Cleveland St, Patchogue, NY 11772 Phone: 631-569-9373 | |
Nicole Marie Divirgilio, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 Route 112 Ste F, Patchogue, NY 11772 Phone: 631-207-2370 | |
John Lowe Wilson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Theresa Ct, Patchogue, NY 11772 Phone: 631-730-3326 | |
Danielle M Bousquet, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 Medford Ave, Patchogue, NY 11772 Phone: 631-758-1910 | |
Stephanie Lauren Vanschaick, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 77 Medford Ave, Patchogue, NY 11772 Phone: 631-758-1910 Fax: 631-758-1984 | |
Kathleen Alyssa Bailey, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 322 W Main St, Patchogue, NY 11772 Phone: 631-228-4977 |