| Dipti Raval, | |
|
475 Northern Blvd, Suite 11, Great Neck, NY 11021-4819 | |
| (516) 829-0030 | |
| Not Available |
| Full Name | Dipti Raval |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 475 Northern Blvd, Great Neck, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487928990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 034520-1 (New York) | Primary |
| Provider Name | Prohealth And Fitness Pt Ot Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1124344650 PECOS PAC ID: 4284828757 Enrollment ID: O20101028000663 |
| Provider Name | Core Physical Therapy Services Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1184269755 PECOS PAC ID: 4486087442 Enrollment ID: O20191204002750 |
| Mailing Address | Practice Location Address |
|---|---|
| Dipti Raval, 475 Northern Blvd, Suite 11, Great Neck, NY 11021-4819 Ph: (516) 829-0030 | Dipti Raval, 475 Northern Blvd, Suite 11, Great Neck, NY 11021-4819 Ph: (516) 829-0030 |
Ms. Susan Carol Lenihan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021 Phone: 516-829-0030 Fax: 516-466-7723 | |
Meng Liu, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021 Phone: 516-829-0030 Fax: 516-466-7723 | |
Sri Valli Bolla, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021 Phone: 516-829-0030 | |
Dr. Joseph Weisberg, PHD PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Larch Dr, Great Neck, NY 11021 Phone: 516-482-8016 Fax: 516-482-8016 | |
Sports Pt Of Manhasset Physical Therapist Medicare: Medicare Enrolled Practice Location: 225 Community Drive, Suite 10 Sports Physical Therapy Of Manhasset, Great Neck, NY 11021 Phone: 516-829-7639 Fax: 516-829-7352 | |
Angela J Bailey-hardy, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 475 Northern Blvd, Suite 11, Great Neck, NY 11021 Phone: 516-829-0030 Fax: 516-466-7723 | |
Dr. Mithun Mamoottil Abraham, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021 Phone: 516-829-0030 Fax: 516-466-7723 |