| Mrs Denise Serotta Jackson, PT | |
|
Stephen W. Bassin, P.t., P.c., 32 Sherman Ave, Glen Falls, NY 12801 | |
| (518) 793-7136 | |
| (518) 793-7142 |
| Full Name | Mrs Denise Serotta Jackson |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | Stephen W. Bassin, P.t., P.c., Glen Falls, 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 |
|---|---|---|---|
| 1295732071 | NPI | - | NPPES |
| 000499025001 | Other | NY | BLUESHIELD OF NE NY |
| 01699036 | Medicaid | NY | |
| DJ0QL58710 | Other | NY | EMPIRE BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 012831-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Denise Serotta Jackson, PT Stephen W. Bassin, P.t., P.c., 32 Sherman Ave, Glen Falls, NY 12801 Ph: (518) 793-7136 | Mrs Denise Serotta Jackson, PT Stephen W. Bassin, P.t., P.c., 32 Sherman Ave, Glen Falls, NY 12801 Ph: (518) 793-7136 |
Mr. Stephen Wayne Bassin, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: Stephen W. Bassin, P.t., P.c., 32 Sherman Ave, Glen Falls, NY 12801 Phone: 518-793-7136 Fax: 518-793-7142 |