| Westchester Gao Physical Therapy Pc | |
|
116 N Central Ave Hartsdale NY 10530-1910 | |
| (914) 421-1600 | |
| Not Available |
| Full Name | Westchester Gao Physical Therapy Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 116 N Central Ave, Hartsdale, New York |
| Authorized Official Name and Position | Greg X Gao (PRESIDENT) |
| Authorized Official Contact | 9144211600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westchester Gao Physical Therapy Pc 116 N Central Ave Hartsdale NY 10530-1910 Ph: (914) 421-1600 | Westchester Gao Physical Therapy Pc 116 N Central Ave Hartsdale NY 10530-1910 Ph: (914) 421-1600 |
| NPI Number | 1467628172 |
|---|---|
| Provider Enumeration Date | 05/02/2008 |
| Last Update Date | 05/02/2008 |
| Medicare PECOS PAC ID | 7416088588 |
|---|---|
| Medicare Enrollment ID | O20100707000001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467628172 | NPI | - | NPPES |
| Q23041 | Other | NY | MEDICARE PROVIDER ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 013918-1 (New York) | Primary |
| Provider Name | Xingong Gao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013998962 PECOS PAC ID: 5092847012 Enrollment ID: I20100709000360 |
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