| Nicole June Brissette, DPT | |
|
1450 Route 208, Wallkill, NY 12589-3799 | |
| (845) 895-1115 | |
| Not Available |
| Full Name | Nicole June Brissette |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 1450 Route 208, Wallkill, 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 |
|---|---|---|---|
| 1134944317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 053649 (New York) | Primary |
| Provider Name | Montefiore Medical Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
| Provider Name | Access Pt, Ot, New York, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831539493 PECOS PAC ID: 3870735897 Enrollment ID: O20130805000042 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole June Brissette, DPT 16 Maybrook Rd Ste L, Campbell Hall, NY 10916-2741 Ph: () - | Nicole June Brissette, DPT 1450 Route 208, Wallkill, NY 12589-3799 Ph: (845) 895-1115 |
Samantha Emmert, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1450 Route 208, Wallkill, NY 12589 Phone: 845-895-1115 Fax: 845-414-6950 | |
Wallkill Physical Therapy, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1500 State Route 208, Wallkill, NY 12589 Phone: 845-895-9003 Fax: 845-895-9006 | |
Lori Ann Schneider, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1450 Route 208, Wallkill, NY 12589 Phone: 845-895-1115 Fax: 845-895-1116 | |
Emily Marie Mildner, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1450 Route 208, Wallkill, NY 12589 Phone: 845-895-1115 | |
Kimberly Pawlowski, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1450 Route 208, Wallkill, NY 12589 Phone: 845-895-1115 Fax: 845-895-1116 | |
Mark Mcdonald, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1450 Route 208, Wallkill, NY 12589 Phone: 845-895-1115 |