| Mulder Family Physical Therapy, P.c. | |
|
515 Route 111, Hauppauge, NY 11788-4339 | |
| (631) 887-7100 | |
| (631) 382-8620 |
| Full Name | Mulder Family Physical Therapy, P.c. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 515 Route 111, Hauppauge, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982859765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 14960 (New York) | Primary |
| Provider Name | Marco F Mulder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578566022 PECOS PAC ID: 8426096215 Enrollment ID: I20050421001092 |
| Mailing Address | Practice Location Address |
|---|---|
| Mulder Family Physical Therapy, P.c. 515 Route 111, Hauppauge, NY 11788-4339 Ph: (631) 887-7100 | Mulder Family Physical Therapy, P.c. 515 Route 111, Hauppauge, NY 11788-4339 Ph: (631) 887-7100 |
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Dr. Patrick Gathman, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 611 Old Willets Path, Hauppauge, NY 11788 Phone: 631-232-5350 | |
Erin Flader, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1383 Veterans Memorial Hwy, Hauppauge, NY 11788 Phone: 631-582-0088 | |
Payal Adroja, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 647 Blydenburgh Rd, Hauppauge, NY 11788 Phone: 631-704-2712 | |
Mark Adrian Cruz Legaspi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 731 Wheeler Road, Hauppauge, NY 11788 Phone: 631-374-1254 |