Individual
DR. RACHEL MARGARET GAMBINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT DPT
Contact information
Practice address
1228 WANTAGH AVENUE, SUITE 104 SOUTH SHORE PEDIATRIC PHYSICAL THERAPY LLP, WANTAGH, NY 11793
(516) 785-5257
(516) 785-5154
Mailing address
131 FIRST STREET, RACHEL M GAMBINO, HOLBROOK, NY 11741
(516) 984-2615
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
0167501
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30646
ANTHEM KAREN
—
01
—
30648
ANTHEM LINDA
—
01
—
60101
CIGNA PPO PROVID # PAYOR
—
01
—
A745513
OXFORD
—
01
—
Q09X41
JP BLCR BLSH
—
01
—
Q3107
KAREN BLCR BLSH
—
01
—
Q6337
LINDA BLCR BLSH
—
01
—
QQ8131
BCBS HMO
NY
01
—
QQ8131
RACHEL BLCR BLSH HMO
—
01
—
QQ8132
BCBS PPO EPO
NY
Enumeration date
11/17/2006
Last updated
07/08/2007
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