| Redcore Physical Therapy And Rehabiitation | |
|
311 St Nicholas Avenue, Suite E- Basement, Ridgewood, NY 11385 | |
| (718) 509-9888 | |
| (718) 509-6144 |
| Full Name | Redcore Physical Therapy And Rehabiitation |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 311 St Nicholas Avenue, Ridgewood, 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 |
|---|---|---|---|
| 1043698228 | NPI | - | NPPES |
| 04599515 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 027246-1 (New York) | Primary |
| Provider Name | Ralph Cuartero |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265566103 PECOS PAC ID: 2466508551 Enrollment ID: I20090915000126 |
| Provider Name | Eduard Kho |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134495161 PECOS PAC ID: 6406148253 Enrollment ID: I20160715000875 |
| Provider Name | Sonora Joy Brioso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982295465 PECOS PAC ID: 3476968223 Enrollment ID: I20210209001653 |
| Provider Name | Jose Donald Mendeja Monroyo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063051241 PECOS PAC ID: 3173938347 Enrollment ID: I20210222000215 |
| Provider Name | Anthony Kahrl Isaac Bigornia |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083083539 PECOS PAC ID: 5092110049 Enrollment ID: I20210830000861 |
| Provider Name | Masemantha Monique Molina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053945881 PECOS PAC ID: 5193142099 Enrollment ID: I20211005001239 |
| Provider Name | Mitchel Vincent Abella Antigua |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164178356 PECOS PAC ID: 0840685384 Enrollment ID: I20220318000801 |
| Mailing Address | Practice Location Address |
|---|---|
| Redcore Physical Therapy And Rehabiitation P.o. Box 780173, Maspeth, NY 11378 Ph: (718) 509-9888 | Redcore Physical Therapy And Rehabiitation 311 St Nicholas Avenue, Suite E- Basement, Ridgewood, NY 11385 Ph: (718) 509-9888 |
Khashayar Yousefian, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1670 George St Apt 2l, Ridgewood, NY 11385 Phone: 408-667-7548 | |
Bhavna Rajesh Devnani, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 929-299-6505 | |
Stacie Malner, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1666 Hancock St, Ridgewood, NY 11385 Phone: 718-456-7588 | |
Bryan Joseph Gicana De La Cruz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 865 Cypress Ave, Ridgewood, NY 11385 Phone: 848-667-0943 Fax: 848-667-0943 | |
Jamelle Rosette Santos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-456-2545 Fax: 718-559-6784 | |
Ruchi Modi, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385 Phone: 718-456-2545 Fax: 718-559-6784 |