| South Shore Physical Therapy P.c. | |
|
220 Main St, Suite 3, Center Moriches, NY 11934-3504 | |
| (631) 878-4545 | |
| (631) 878-4573 |
| Full Name | South Shore Physical Therapy P.c. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 220 Main St, Center Moriches, 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 |
|---|---|---|---|
| 1750422705 | NPI | - | NPPES |
| 1310650 | Other | NY | UNITED HEALTH CARE |
| 51503 | Other | NY | AETNA |
| 130065 | Other | NY | MPN |
| 3989276 | Other | NY | CIGNA |
| 970755 | Other | NY | HIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 5685-1 (New York) | Primary |
| Provider Name | William M Herro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194745083 PECOS PAC ID: 8820273725 Enrollment ID: I20110428000403 |
| Mailing Address | Practice Location Address |
|---|---|
| South Shore Physical Therapy P.c. 220 Main St, Suite 3, Center Moriches, NY 11934-3504 Ph: (631) 878-4545 | South Shore Physical Therapy P.c. 220 Main St, Suite 3, Center Moriches, NY 11934-3504 Ph: (631) 878-4545 |
Dawn Daniels, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3 Shirley St, Center Moriches, NY 11934 Phone: 631-834-8908 | |
Mr. William M. Herro, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 220 Main St, Center Moriches, NY 11934 Phone: 631-878-4545 Fax: 631-878-4573 | |
Dr. Jake Michael Thorley, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15 Frowein Rd, Center Moriches, NY 11934 Phone: 631-617-6265 | |
Pramod Bhanti, Pt, Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Union Ave, Om Professional Center Suite 1, Center Moriches, NY 11934 Phone: 631-878-1771 Fax: 631-878-3319 | |
Mrs. Leila Ann Saguto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 760 Main St, Ste 12, Center Moriches, NY 11934 Phone: 631-874-4710 Fax: 631-874-4780 | |
Mrs. Alice Margaret Herro, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 220 Main St, Suite 3, Center Moriches, NY 11934 Phone: 631-878-4545 Fax: 631-878-4573 |