| Mr Zachary Forman, DPT | |
|
607 Middle Country Rd, Coram, NY 11727-3362 | |
| (631) 732-3900 | |
| (631) 732-3908 |
| Full Name | Mr Zachary Forman |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 607 Middle Country Rd, Coram, 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 |
|---|---|---|---|
| 1437932787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 050710 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Island Sports Physical Therapy Of Coram Pc | 6406747526 | 6 |
| Provider Name | Island Sports Physical Therapy Of Coram Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083681613 PECOS PAC ID: 6406747526 Enrollment ID: O20040320000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Zachary Forman, DPT 607 Middle Country Rd, Coram, NY 11727-3362 Ph: (631) 732-3900 | Mr Zachary Forman, DPT 607 Middle Country Rd, Coram, NY 11727-3362 Ph: (631) 732-3900 |
Mrs. Amy W Maragioglio, PT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 607 Middle Country Road, Coram, NY 11727 Phone: 631-732-3900 Fax: 631-732-3908 | |
James Cutreal Phillips, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 607 Middle Country Rd, Coram, NY 11727 Phone: 631-732-3900 | |
Tyler Roden, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 607 Middle Country Rd, Coram, NY 11727 Phone: 631-732-3900 | |
Island Sports Physical Therapy Of Coram Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 607 Middle Country Road, Coram, NY 11727 Phone: 631-732-3900 Fax: 631-732-3900 | |
Susan Neel Gilleeny Behrens, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 607 Middle Country Rd, Coram, NY 11727 Phone: 631-732-3900 Fax: 631-732-3908 | |
Kathryn Laino, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Wellsley Ln, Coram, NY 11727 Phone: 631-478-1885 | |
John Joel Uy, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 22 Camp Fire Ln, Coram, NY 11727 Phone: 631-451-0225 |