Agnieszka Antecka | Staten Island, NY • PECOS Search

Agnieszka Antecka

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

4434 Amboy Rd, Empire Physical Therapy, Staten Island, NY 10312

(718) 227-7015 (908) 620-3990

PECOS Enrollment

Based on the most recent information from CMS, provider Agnieszka Antecka 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
1326258179
Provider Type
Individual
Full Name
Antecka, Agnieszka
Credential
PT

Gender
Female
Sole Proprietor
No
Enumeration Date
5/23/2007
Last Updated
7/23/2008

Contact Information

Practice Location

4434 Amboy Rd, Empire Physical Therapy, Staten Island, NY 10312

Unlisted Fax

Mailing Location

613 Newman Pl Apt 6, Roselle, NJ 07203-2859

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 020790 New York