| Agewell Diagnostics, Inc. | |
|
1999 Marcus Avenue, Suite M15, Lake Success, NY 11042 | |
| (516) 488-8808 | |
| (516) 488-8808 |
| Full Name | Agewell Diagnostics, Inc. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1999 Marcus Avenue, Lake Success, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366930836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 015532-1 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Agewell Diagnostics, Inc. 1999 Marcus Avenue, Suite M15, Lake Success, NY 11042 Ph: (516) 488-8808 | Agewell Diagnostics, Inc. 1999 Marcus Avenue, Suite M15, Lake Success, NY 11042 Ph: (516) 488-8808 |
Joan B Monaghan, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2800 Marcus Avenue, Suite 101, Lake Success, NY 11040 Phone: 516-622-6161 Fax: 516-622-6171 | |
Lyonel De Sagun, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1979 Marcus Ave, Suite 204, Lake Success, NY 11042 Phone: 516-327-4681 | |
Maricel De Vera, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1979 Marcus Ave, Suite 204, Lake Success, NY 11042 Phone: 516-327-4681 | |
Mark Alan Herbrich, P.T., M.A. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1999 Marcus Ave, Suite M15, Lake Success, NY 11042 Phone: 516-488-8808 Fax: 516-488-8818 | |
John J Dragan, P.T., GCS Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1999 Marcus Ave, Suite M15, Lake Success, NY 11042 Phone: 516-488-8808 Fax: 516-488-8818 | |
Miss Maria C R Baltasar, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1979 Marcus Ave, Suite 204, Lake Success, NY 11042 Phone: 516-327-4681 |