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Ann Marie Aldeguer-Dimatulac

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

4434 Amboy Rd, Staten Island, NY 10312-3866

PECOS Enrollment

Based on the most recent information from CMS, provider Ann Marie Aldeguer-Dimatulac 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
1447205232
Provider Type
Individual
Full Name
Aldeguer-Dimatulac, Ann Marie
Credential
P.T.

Gender
Female
Sole Proprietor
No
Enumeration Date
5/23/2006
Last Updated
7/8/2007

Contact Information

Practice Location

4434 Amboy Rd, Staten Island, NY 10312-3866

(718) 227-7015

(718) 227-6411

Mailing Location

627 Horseblock Rd, Suite 7, Farmingville, NY 11738-2137

(631) 451-3773

(631) 451-3939

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 023262-1 New York

Provider Identifiers

ID	Description	Issuer
ID 02762123	Description Medicaid	Issuer Unlisted New York

Ann Marie Aldeguer-Dimatulac

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Hanafy, Hajar Sherif

Labbate, Daniela

Ranganathan, Swethambari

Abdelmoamen, Ahmed Nabile

Patel, Palvi

Agnieszka Antecka Pt Pc

Yasmin Rehab Pt Pc

Atta, Linda

Ybanez, Maria Luisa

In Mobility Pt Pllc