Russell Taveras (NPI# 1669587465, PAC ID# 2567628985) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1669587465 |
| PAC ID by PECOS | 2567628985 |
| Professional Enrollment ID | I20120730000199 |
| Full Name | Russell Taveras |
| Organization Legal Name | P.T.C MEDICAL, P.C. |
| Address |
79 E Main St Patchogue NY 11772-3101 |
| Phone Number | 6312890088 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3870684012 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 79 E Main St, Patchogue, NY 11772-3101 | 6312890088 | P.T.C MEDICAL, P.C. |
| Organization Legal Name | P.T.C MEDICAL, P.C. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen J Saroli | Chiropractic | P.t.c Medical, P.C. | 79 E Main St, Patchogue, NY 11772-3101 |
| Street Address |
79 E MAIN ST |
| City | PATCHOGUE |
| State | NY |
| Zip | 11772-3101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett A Desing | Chiropractic | 79 E Main St, Patchogue, NY 11772-3101 | |
| Stephen J Saroli | Chiropractic | P.t.c Medical, P.C. | 79 E Main St, Patchogue, NY 11772-3101 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Horvath | Clinical Social Worker | 18 Woodward Ave, Patchogue, NY 11772-1041 | |
| Shahin F Shaikh | Pulmonary Disease | 90 Medford Ave, Patchogue, NY 11772-1202 | |
| Christine Marie Doucet | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Rivkah E Raza | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Andrew S Wang | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Sam M Fassnacht | Physician Assistant | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Lyndie A Hughes | Physician Assistant | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Rose Orlando | Nurse Practitioner | 140 Medford Ave, Patchogue, NY 11772-1208 | |
| Frances P Redarrow | Clinical Social Worker | 20 Medford Ave, Suite 109, Patchogue, NY 11772-1220 | |
| Edward A Beller | Chiropractic | 268 Medford Ave, Patchogue, NY 11772-1221 | |
| Find all physicians in zip 11772 | |||
| City | PATCHOGUE |
| Zip Code | 11772 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PATCHOGUE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Russell Taveras.
| 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.