| |
505 Northern Blvd, Great Neck, NY 11021-5115 | |
(516) 359-7391 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 505 Northern Blvd, Great Neck, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396336491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | (* (Not Available)) | Secondary |
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Caesar Cantone |
---|---|
Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427004670 PECOS PAC ID: 8426067547 Enrollment ID: I20060418000137 |
Mailing Address | Practice Location Address |
---|---|
133 N Herman Ave, Bethpage, NY 11714-4932 Ph: (516) 359-7391 | 505 Northern Blvd, Great Neck, NY 11021-5115 Ph: (516) 359-7391 |