| Island Spine & Sports Medicine Pc | |
|
81 N Broadway, Hicksville, NY 11801-2920 | |
| (516) 933-4351 | |
| (516) 933-4352 |
| Full Name | Island Spine & Sports Medicine Pc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 81 N Broadway, Hicksville, 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 |
|---|---|---|---|
| 1710104641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Richard S Obedian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1659394690 PECOS PAC ID: 1759284532 Enrollment ID: I20040129000446 |
| Provider Name | Andrew Zagorski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629112552 PECOS PAC ID: 6608857933 Enrollment ID: I20040525000177 |
| Provider Name | Nicholas Bartolotto |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801078928 PECOS PAC ID: 5698856037 Enrollment ID: I20080111000303 |
| Provider Name | Lynn T Alquiza Mendoza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871758979 PECOS PAC ID: 5395813430 Enrollment ID: I20081002000546 |
| Mailing Address | Practice Location Address |
|---|---|
| Island Spine & Sports Medicine Pc 81 N Broadway, Hicksville, NY 11801-2920 Ph: (516) 933-4351 | Island Spine & Sports Medicine Pc 81 N Broadway, Hicksville, NY 11801-2920 Ph: (516) 933-4351 |
Manisha B Kothari, P.T., D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 33 Twinlawns Ave, Hicksville, NY 11801 Phone: 646-279-3250 | |
Prinjal Pravinchandra Raj, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 83 Princess St, Hicksville, NY 11801 Phone: 346-438-4802 | |
Chaolin Fu, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4 Savoy Place, Hicksville, NY 11801 Phone: 516-932-3825 | |
Jaworski Gestiada, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 65 Woodbury Rd, Hicksville, NY 11801 Phone: 516-567-8432 | |
Gaitway Physical Therapy Of Connecticut, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6 Arcadia Lane, Hicksville, NY 11801 Phone: 516-623-4769 Fax: 516-771-0621 | |
Magvirose Balisi, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16 Gardenia Ln, Hicksville, NY 11801 Phone: 917-386-3434 Fax: 866-447-4544 | |
Robert Henderson, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 35 Bay Ave, Hicksville, NY 11801 Phone: 516-935-0814 |