Jed Jabiguero, | |
55 Northern Blvd, Suite 103, Great Neck, NY 11021-4027 | |
(516) 466-9300 | |
(516) 466-9253 |
Full Name | Jed Jabiguero |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 55 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 |
---|---|---|---|
1093143281 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 026851 (New York) | Primary |
Provider Name | Mk Healthcare Medical Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316426299 PECOS PAC ID: 8123371978 Enrollment ID: O20181025001137 |
Mailing Address | Practice Location Address |
---|---|
Jed Jabiguero, 55 Northern Blvd, Suite 103, Great Neck, NY 11021-4027 Ph: (516) 466-9300 | Jed Jabiguero, 55 Northern Blvd, Suite 103, Great Neck, NY 11021-4027 Ph: (516) 466-9300 |
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 |