| Nicole Marie Divirgilio, PT | |
|
77 Route 112 Ste F, Patchogue, NY 11772-1230 | |
| (631) 207-2370 | |
| Not Available |
| Full Name | Nicole Marie Divirgilio |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 77 Route 112 Ste F, Patchogue, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063133023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 04925101 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Divirgilio, PT 1301 Spruce Dr, Holbrook, NY 11741-4464 Ph: (610) 202-7804 | Nicole Marie Divirgilio, PT 77 Route 112 Ste F, Patchogue, NY 11772-1230 Ph: (631) 207-2370 |
Ronald Amaya Lopez, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 322 W Main St, Patchogue, NY 11772 Phone: 631-228-4977 | |
Sungguk Bae, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Cleveland St, Patchogue, NY 11772 Phone: 631-569-9373 | |
John Lowe Wilson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Theresa Ct, Patchogue, NY 11772 Phone: 631-730-3326 | |
Danielle M Bousquet, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 77 Medford Ave, Patchogue, NY 11772 Phone: 631-758-1910 | |
Stephanie Lauren Vanschaick, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 77 Medford Ave, Patchogue, NY 11772 Phone: 631-758-1910 Fax: 631-758-1984 | |
Kathleen Alyssa Bailey, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 322 W Main St, Patchogue, NY 11772 Phone: 631-228-4977 |