Jack Baker Renfroe (NPI# 1437669934, PAC ID# 2264799428) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1437669934 |
| PAC ID by PECOS | 2264799428 |
| Professional Enrollment ID | I20171127002573 |
| Full Name | Jack Baker Renfroe |
| Organization Legal Name | PROHEALTH CARE ASSOCIATES LLP |
| Address |
120 W 23rd St New York NY 10011-2473 |
| Phone Number | 2123209797 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4486544186 |
| Number of Group Practice Members | 656 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 120 W 23rd St, New York, NY 10011-2473 | 2123209797 | PROHEALTH CARE ASSOCIATES LLP |
| Organization Legal Name | PROHEALTH CARE ASSOCIATES LLP |
| Physicians | 676 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dominique Rowe | Physical Therapy | Prohealth Care Associates LLP | 3202 Bainbridge Ave, Apt D, Bronx, NY 10467-3947 |
| Phyllis G Simon-goldman | Pediatric Medicine | Prohealth Care Associates LLP | 270 Union Ave, Holbrook, NY 11741-1823 |
| Christie G Mathew | Physical Therapy | Prohealth Care Associates LLP | 70 Maple Ave, Rockville Centre, NY 11570-4225 |
| Leslianne Barabash | Nurse Practitioner | Prohealth Care Associates LLP | 2840 Jerusalem Ave, Wantagh, NY 11793-2017 |
| Susanne Michelle Labarba | Allergy/immunology | Prohealth Care Associates LLP | 2 Lincoln Ave, Suite 201, Rockville Centre, NY 11570-5775 |
| Costantinos Stamboulis | Occupational Therapy | Prohealth Care Associates LLP | 994 W Jericho Tpke, Smithtown, NY 11787-3235 |
| Laura J Sheridan-kelchner | Obstetrics/gynecology | Prohealth Care Associates LLP | 720 Montauk Hwy, West Islip, NY 11795-4411 |
| Veronica Mastrogiacomo | Nurse Practitioner | Prohealth Care Associates LLP | 1610 Williamsbridge Rd, Bronx, NY 10461-6289 |
| Jennifer Olivella | Nurse Practitioner | Prohealth Care Associates LLP | 19616 Hillside Ave, Hollis, NY 11423-2125 |
| Dianne Layer-kelly | Nurse Practitioner | Prohealth Care Associates LLP | 4045 Hempstead Tpke, Suite 3, Bethpage, NY 11714-5611 |
| Street Address |
120 W 23RD ST |
| City | NEW YORK |
| State | NY |
| Zip | 10011-2473 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Devon C Macdermott | Clinical Psychologist | Suite 1107, New York, NY 10011 | |
| George A Buscemi | Clinical Social Worker | 412 Ave of Americas, Suite 606, New York, NY 10011 | |
| Theodore Harrison | Otolaryngology | 2 5th Ave, Suite 1, New York, NY 10011-0035 | |
| Steven D Brown | Clinical Social Worker | 460 W 24th St, New York, NY 10011-1311 | |
| Eduardo Ferreira Soares Pereira | Physical Therapy | 430 W 24th St, Apt 1f, New York, NY 10011-1328 | |
| Fabricio P Rodrigues | Physical Therapy | 430 W 24th St, Suite 1f, New York, NY 10011-1328 | |
| Paul Evora | Physical Therapy | Bounce Back Physical Therapy, PC | 430 W 24th St, Suite 1f, New York, NY 10011-1328 |
| Brian Christopher Stevens | Psychologist, Clinical | 420 W 24th St, 1b, New York, NY 10011-1333 | |
| Alan Schwartz | Psychiatry | 450 W 24th St, Suite 1a, New York, NY 10011-1357 | |
| William D Lubart | Psychologist, Clinical | 450 W 24th St, Suite 1a, New York, NY 10011-1357 | |
| Find all physicians in zip 10011 | |||
| City | NEW YORK |
| Zip Code | 10011 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | NEW YORK + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.