Organization
LAKE SUCCESS PHYSICAL THERAPY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE DRAGAN (BUSINESS MANAGER)
(516) 488-8808
Entity
Organization
Contact information
Practice address
1999 MARCUS AVE STE M15, NEW HYDE PARK, NY 11042-1023
(516) 488-8808
(516) 488-8818
Mailing address
1999 MARCUS AVE STE M15, NEW HYDE PARK, NY 11042-1023
(516) 488-8808
Taxonomy
Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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