| Phillip Ilievski, | |
|
92 West Ave, Brockport, NY 14420-1306 | |
| (585) 637-0790 | |
| Not Available |
| Full Name | Phillip Ilievski |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 92 West Ave, Brockport, 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 |
|---|---|---|---|
| 1366136392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Agape Physical Therapy Services, Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1841200649 PECOS PAC ID: 1153302823 Enrollment ID: O20040527001091 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip Ilievski, 286 Eastham Ct, Webster, NY 14580-9043 Ph: () - | Phillip Ilievski, 92 West Ave, Brockport, NY 14420-1306 Ph: (585) 637-0790 |
Dr. Adam Krahmer, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 92 West Ave, Brockport, NY 14420 Phone: 585-637-0790 Fax: 585-637-3572 | |
Sheryl P Trask Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5480 Lake Rd S, Brockport, NY 14420 Phone: 585-637-8305 | |
Andrew J Siergiej, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 92 West Ave, Brockport, NY 14420 Phone: 585-637-0790 Fax: 585-637-3572 | |
Bradley Casper, Physical Therapist Medicare: Medicare Enrolled Practice Location: 92 West Ave, Brockport, NY 14420 Phone: 585-637-0790 Fax: 585-637-3572 | |
Jordan Block, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 156 West Ave, Brockport, NY 14420 Phone: 585-275-5321 | |
Michael R Hughes, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 92 West Ave, Brockport, NY 14420 Phone: 585-637-0790 | |
Nathan Jay Hungate, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 92 West Ave, Brockport, NY 14420 Phone: 585-637-0790 Fax: 585-637-3572 |