Russalette O Magbanua (NPI# 1932277704, PAC ID# 5395930804) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1932277704 |
| PAC ID by PECOS | 5395930804 |
| Professional Enrollment ID | I20110517000042 |
| Full Name | Russalette O Magbanua |
| Organization Legal Name | PROTHERAPY REHABILITATION OT, PT, SLP, PLLC |
| Address |
274 W 145th St Suite 310 New York NY 10039-4122 |
| Phone Number | 7185892200 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 2860669975 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1981 Jerome Ave, Bronx, NY 10453-1803 | 7185892200 | PROTHERAPY REHABILITATION OT, PT, SLP, PLLC |
| 274 W 145th St, Suite 310, New York, NY 10039-4122 | 7185892200 | PROTHERAPY REHABILITATION OT, PT, SLP, PLLC |
| Organization Legal Name | PROTHERAPY REHABILITATION OT, PT, SLP, PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roland A Gandeza | Physical Therapy | Protherapy Rehabilitation Ot, Pt, Slp, Pllc | 1981 Jerome Ave, Bronx, NY 10453-1803 |
| Yin Sin Chin | Physical Therapy | Protherapy Rehabilitation Ot, Pt, Slp, Pllc | 1981 Jerome Ave, Bronx, NY 10453-1803 |
| Street Address |
274 W 145TH ST SUITE 310 |
| City | NEW YORK |
| State | NY |
| Zip | 10039-4122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ted C Chiu | Physical Therapy | 274 W 145th St, Suite 310, New York, NY 10039-4122 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa A Mack | Internal Medicine | Icahn School of Medicine At Mount Sinai | 2771 Frederick Douglass Blvd, New York, NY 10039-3027 |
| Stephanie Wang | Internal Medicine | Icahn School of Medicine At Mount Sinai | 2771 Frederick Douglass Blvd, New York, NY 10039-3027 |
| Jenny Gerner | Internal Medicine | Icahn School of Medicine At Mount Sinai | 2771 Frederick Douglass Blvd, New York, NY 10039-3027 |
| Sophia Naa-abia N Casley-hayford | Internal Medicine | Icahn School of Medicine At Mount Sinai | 2771 Frederick Douglass Blvd, New York, NY 10039-3027 |
| Russell F Trahan | Podiatry | 247 W 145th St, New York, NY 10039-4004 |
| City | NEW YORK |
| Zip Code | 10039 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | NEW YORK + OCCUPATIONAL THERAPY |
Please comment or provide details below to improve the information on Russalette O Magbanua.
| 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.