Organization
AGEWELL PHYSICAL THERAPY AND WELLNESS, P.C.
Active
Organization
AGEWELL PHYSICAL THERAPY AND WELLNESS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HERBRICH P.T. (CO-FOUNDER/ PHYSICAL THERAPIST)
(516) 488-8808
Entity
Organization
Contact information
Practice address
1999 MARCUS AVE, SUITE M15, LAKE SUCCESS, NY 11042-1013
(516) 488-8808
(516) 488-8818
Mailing address
1999 MARCUS AVE, SUITE M15, LAKE SUCCESS, NY 11042-1013
(516) 488-8808
(516) 488-8818
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0155321
NY
Other
Enumeration date
08/24/2005
Last updated
03/13/2008
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