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355 Post Ave, Suite 100, Westbury, NY 11590-2265 | |
(516) 333-3253 | |
(516) 333-8452 |
Full Name | |
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Type | Facility |
Speciality | Rehabilitation Practitioner |
Location | 355 Post Ave, Westbury, 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 |
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1922136571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111NR0400X | Chiropractor - Rehabilitation | (* (Not Available)) | Secondary |
225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Provider Name | Jeffrey Ira Kornreich |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1386712487 PECOS PAC ID: 7719875574 Enrollment ID: I20040304001197 |
Provider Name | Kwan-iong Jakobsen |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1407837677 PECOS PAC ID: 4385556976 Enrollment ID: I20041104001161 |
Provider Name | Ira S Fisher |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1013908284 PECOS PAC ID: 1557542206 Enrollment ID: I20110301000147 |
Mailing Address | Practice Location Address |
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355 Post Ave, Suite 100, Westbury, NY 11590-2265 Ph: (516) 333-3253 | 355 Post Ave, Suite 100, Westbury, NY 11590-2265 Ph: (516) 333-3253 |