| Youssef Boles, | |
|
8091 Wild Lemon Ln, Manlius, NY 13104-9792 | |
| (315) 450-0371 | |
| Not Available |
| Full Name | Youssef Boles |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 8091 Wild Lemon Ln, Manlius, 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 |
|---|---|---|---|
| 1134522931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 037405 (New York) | Primary |
| Provider Name | Boles Physical Therapy Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538805262 PECOS PAC ID: 7810373644 Enrollment ID: O20221003001519 |
| Mailing Address | Practice Location Address |
|---|---|
| Youssef Boles, 8091 Wild Lemon Ln, Manlius, NY 13104-9792 Ph: (315) 450-0371 | Youssef Boles, 8091 Wild Lemon Ln, Manlius, NY 13104-9792 Ph: (315) 450-0371 |
Damond P Archung, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 105 W Seneca St, Manlius, NY 13104 Phone: 315-682-3387 | |
Mrs. Susan Marie Demas, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8427 Woodbox Rd, Manlius, NY 13104 Phone: 315-345-8652 | |
Mr. Wayne W. Rath, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 115 Fairgrounds Drive, Suite 2, Manlius, NY 13104 Phone: 315-682-3387 Fax: 315-682-3392 | |
Charlotte Giovanna Ennis, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 240 W Seneca St, Manlius, NY 13104 Phone: 315-682-0325 | |
Steven Procopio, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 240 W Seneca St, Manlius, NY 13104 Phone: 315-682-0325 Fax: 315-682-0295 | |
Meghan Lounsbury, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 240 W Seneca St, Manlius, NY 13104 Phone: 315-682-0325 |