MEDICARE: CONSOLACION O ESTRELLA PT PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	018236	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003031881
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONSOLACION O ESTRELLA PT PC

Provider Business Mailing Address
First Line	:	787 LYDIG AVENUE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-2144
Country	:	US
Telephone Number	:	718-863-7774
Fax Number	:	718-792-0288

Provider Business Practice Location Address
First Line	:	787 LYDIG AVENUE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-2144
Country	:	US
Telephone Number	:	718-863-7774
Fax Number	:	718-792-0288

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	CONSOLACION O ESTRELLA
Credential	:
Telephone Number	:	718-863-7774

Provider Enumeration Date	:	04/16/2007
Last Update Date	:	01/31/2013

Similar Medicare Providers

1619979978 — DR. MICHAEL RAY RABINOWITZ M.D.
Practice Location Address:

787 LYDIG AVE
BRONX, NY
10462-2144

Practice Phone: 718-863-7774
Practice Fax:

1538169735 — MS. CONSOLACION OBEDO ESTRELLA PT
Practice Location Address:

787 LYDIG AVE
BRONX, NY
10462-2144

Practice Phone: 718-863-7774
Practice Fax: 718-792-0288

1669468666 — MR. EDGARDO MESIAS LIVICA RPT
Practice Location Address:

787 LYDIG AVE
BRONX, NY
10462-2144

Practice Phone: 718-775-6025
Practice Fax:

1225043623 — CHARMAR INC
Practice Location Address:

781 LYDIG AVE
BRONX, NY
10462-2144

Practice Phone: 718-822-1348
Practice Fax: 718-822-1792

1952421729 — CHARLES LUNDBERG RPH
Practice Location Address:

781 LYDIG AVE
BRONX, NY
10462-2144

Practice Phone: 718-822-1348
Practice Fax: 718-822-1792

1295057552 — GENNADIY MATATOV PHARM. D.
Practice Location Address:

781 LYDIG AVE
BRONX, NY
10462-2144

Practice Phone: 718-822-1348
Practice Fax: 718-822-1792

Directions to “CONSOLACION O ESTRELLA PT PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.