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Sean Harrison Kreitzer

Physical Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

97 Main St Ste H, Stony Brook, NY 11790-1900

PECOS Enrollment

Based on the most recent information from CMS, provider Sean Harrison Kreitzer 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 2 days ago.

Profile Details

Provider ID
1871203851
Provider Type
Individual
Full Name
Kreitzer, Sean Harrison
Title
Dr.
Credential
DPT

Gender
Male
Sole Proprietor
No
Enumeration Date
11/30/2022
Last Updated
11/30/2022

Contact Information

Practice Location

97 Main St Ste H, Stony Brook, NY 11790-1900

(631) 751-6680

Unlisted Fax

Mailing Location

3 Bluetop Rd, Setauket, NY 11733-1906

(631) 246-5733

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 225100000X Primary	Description Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers	License 049807 New York

Provider Identifiers

ID	Description	Issuer
ID 372643093	Description Other	Issuer DRIVERS LICENSE New York

Sean Harrison Kreitzer

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

Three Village Physical Therapy Pllc

Herrera, Edith Michelle

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Stano, Alex Farrell

Goldstein, Kathleen Walsh

Park Avenue Physical Therapy Pc

Wong, Trevor S

Sanders, Thomas

Byrne, Nicholas

Walsh, Carol Lee