Theresa Loscalzo Bacaris (NPI# 1720162431, PAC ID# 8224076492) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1720162431 |
PAC ID by PECOS | 8224076492 |
Professional Enrollment ID | I20050419000484 |
Full Name | Theresa Loscalzo Bacaris |
Address |
1360 Montauk Hwy Suite 2e Mastic NY 11950-2929 |
Gender | F |
Credential | OD |
Medical School | NEW ENGLAND COLLEGE OF OPTOMETRY |
Graduation Year | 1987 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1360 Montauk Hwy, Suite 2e, Mastic, NY 11950-2929 |
Street Address |
1360 MONTAUK HWY SUITE 2E |
City | MASTIC |
State | NY |
Zip | 11950-2929 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sally Peters | Clinical Social Worker | 20 Foxcroft St, Mastic, NY 11950-1325 | |
Robert Colucci | Psychiatry | Family Service League Inc | 1235 Montauk Hwy, Mastic, NY 11950-2917 |
Theresa L Stavola | Nurse Practitioner | Family Service League Inc | 1235 Montauk Hwy, Mastic, NY 11950-2917 |
Jeffrey A Scaccio | Chiropractic | 1494 Montauk Hwy, Mastic, NY 11950-2935 | |
Justin J Bonacci | Physical Therapy | Spagnoli Physical Therapy PC | 1636 Montauk Hwy, Suite 4, Mastic, NY 11950-3016 |
Kelly Abrams | Physical Therapy | Spagnoli Physical Therapy PC | 1636 Montauk Hwy, Mastic, NY 11950-3016 |
City | MASTIC |
Zip Code | 11950 |
Specialty | OPTOMETRY |
City + Specialty | MASTIC + OPTOMETRY |
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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.