Look up the most recent NPI and PECOS records

Agnieszka Antecka Pt Pc

(<Unavail>)

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

4434 Amboy Rd, Staten Island, NY 10312-3845

PECOS Enrollment

Based on the most recent information from CMS, provider Agnieszka Antecka Pt Pc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1275892614
Provider Type
Organization
Full Name
Agnieszka Antecka Pt Pc
Other Name
<Unavail>

Subpart
No
Enumeration Date
5/4/2012
Last Updated
5/29/2012

Contact Information

Practice Location

4434 Amboy Rd, Staten Island, NY 10312-3845

(718) 227-7015

(718) 227-6411

Mailing Location

4434 Amboy Rd, Staten Island, NY 10312-3845

(718) 227-7015

(718) 227-6411

Authorized Official

Antecka, Agnieszka (Director)

(718) 227-7015

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License Unlisted Issuer

Agnieszka Antecka Pt Pc

(<Unavail>)

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Shah, Krishika

North Shore Pt Of Ny Pc

Distefano, Claudia

Bhatt, Krishma Sanjay

Ranganathan, Swethambari

Lizaso, Arthur

Bhavsar, Zankhana

Trezza, Denise

Virata, Emmanuel Valinton

Murray, Mary Ann