| Excelsior Physical Therapy & Rehabilitation, Pllc | |
|
77 Tarrytown Rd White Plains NY 10607-1639 | |
| (914) 328-0717 | |
| Not Available |
| Full Name | Excelsior Physical Therapy & Rehabilitation, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 77 Tarrytown Rd, White Plains, New York |
| Authorized Official Name and Position | Josephine S. Dolera (PT STAFF) |
| Authorized Official Contact | 9143280717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excelsior Physical Therapy & Rehabilitation, Pllc 77 Tarrytown Road White Plains NY 10607-1664 Ph: (914) 328-0717 | Excelsior Physical Therapy & Rehabilitation, Pllc 77 Tarrytown Rd White Plains NY 10607-1639 Ph: (914) 328-0717 |
| NPI Number | 1912131087 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 07/28/2010 |
| Medicare PECOS PAC ID | 6608912175 |
|---|---|
| Medicare Enrollment ID | O20091211000572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912131087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Cecilia D Capistrano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598929044 PECOS PAC ID: 9931245438 Enrollment ID: I20091211000609 |
| Provider Name | Josephine S Dolera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053595082 PECOS PAC ID: 4385610799 Enrollment ID: I20101023000098 |
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