| Peranandan Jayapalan, | |
|
8610 151st Ave, Howard Beach, NY 11414-1332 | |
| (718) 487-3406 | |
| Not Available |
| Full Name | Peranandan Jayapalan |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 25 Years |
| Location | 8610 151st Ave, Howard Beach, 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 |
|---|---|---|---|
| 1952739377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 40QA01779800 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | 034529 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Esd Pt Ot And Slp Pllc | 5991044125 | 77 |
| Provider Name | Esd PT OT & Slp PLLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003383308 PECOS PAC ID: 5991044125 Enrollment ID: O20190305001668 |
| Mailing Address | Practice Location Address |
|---|---|
| Peranandan Jayapalan, 8610 151st Ave, Howard Beach, NY 11414-1332 Ph: (718) 487-3406 | Peranandan Jayapalan, 8610 151st Ave, Howard Beach, NY 11414-1332 Ph: (718) 487-3406 |
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