Individual
MR. JAMES MEGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
166 LAKESIDE TRL, RIDGE, NY 11961-2246
(631) 300-0769
Mailing address
166 LAKESIDE TRL, RIDGE, NY 11961-2246
(631) 300-0769
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
010950
NY
2251G0304X
Geriatric Physical Therapist
Primary
010950
NY
2251N0400X
Neurology Physical Therapist
010950-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2468823
UNITED HEALTHCARE NUMBER
NY
Enumeration date
06/23/2006
Last updated
03/05/2024
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