Broadway Medical P.c. is a
Massage Therapist based in Lynbrook, New York. Broadway Medical P.c. is licensed to practice in New York (license number 017855) and their current practice location is
120 Broadway, Lynbrook, New York. It can be reached at their office (for appointments etc.) via phone at
(516) 599-9355.
NPI number for Broadway Medical P.c. is 1932314515 and their current mailing address is 120 Broadway, Lynbrook, New York. Broadway Medical P.c.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1932314515.
Healthcare Provider's Profile
| Full Name | Broadway Medical P.c. |
|---|
| Type | Facility |
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| Speciality | Massage Therapist |
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| Location | 120 Broadway, Lynbrook, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1932314515
- Provider Enumeration Date: 05/14/2007
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Broadway Medical P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932314515 | NPI | - | NPPES |
| 01918905 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | X002413 (New York) | Primary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | 205528 (New York) | Primary |
| 207Q00000X | Family Medicine | 205528 (New York) | Primary |
| 225700000X | Massage Therapist | 017855 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Broadway Medical P.c. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Broadway Medical P.c.
120 Broadway,
Lynbrook, NY 11563-3233
Ph: (516) 599-9355 | Broadway Medical P.c.
120 Broadway,
Lynbrook, NY 11563-3233
Ph: (516) 599-9355 |
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