| Mr Patrick Steven Privatera, PT ATC | |
|
3 West Ave, Leroy, NY 14482 | |
| (585) 768-4550 | |
| (585) 768-2335 |
| Full Name | Mr Patrick Steven Privatera |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 3 West Ave, Leroy, 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 |
|---|---|---|---|
| 1750459442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 0166471 (New York) | Primary |
| Provider Name | Genesee Valley Physical Therapy & Sports Rehab Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1407910953 PECOS PAC ID: 8325029606 Enrollment ID: O20040525000518 |
| Provider Name | Leroy Physical Therapy And Athletic Training, Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1154475739 PECOS PAC ID: 4587701479 Enrollment ID: O20091026000527 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Patrick Steven Privatera, PT ATC 3 West Ave, Leroy, NY 14482 Ph: (585) 768-4550 | Mr Patrick Steven Privatera, PT ATC 3 West Ave, Leroy, NY 14482 Ph: (585) 768-4550 |
Mrs. Stacy Lynn Wentworth, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 West Ave, Leroy, NY 14482 Phone: 585-768-4550 Fax: 585-768-2335 | |
Leroy Physical Therapy And Athletic Training, Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3 West Avenue, Leroy, NY 14482 Phone: 585-768-4550 Fax: 585-768-2335 |