| Jericho Wellness Llc | |
|
55 Jericho Tpke Ste 102, Jericho, NY 11753-1013 | |
| (516) 506-7888 | |
| (516) 833-6044 |
| Full Name | Jericho Wellness Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 55 Jericho Tpke Ste 102, Jericho, 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 |
|---|---|---|---|
| 1184071367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 011044 (New York) | Primary |
| Provider Name | Richard S Keohane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003107269 PECOS PAC ID: 1456614734 Enrollment ID: I20180419001593 |
| Mailing Address | Practice Location Address |
|---|---|
| Jericho Wellness Llc 55 Jericho Tpke Ste 102, Jericho, NY 11753-1013 Ph: (516) 506-7888 | Jericho Wellness Llc 55 Jericho Tpke Ste 102, Jericho, NY 11753-1013 Ph: (516) 506-7888 |
Jaime Philip, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 N Broadway, Suite D, Jericho, NY 11753 Phone: 516-827-9446 Fax: 516-827-0042 | |
Wilda Lacdao Peralta, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 33 S Service Rd Rm 109, Jericho, NY 11753 Phone: 516-750-9760 Fax: 516-495-7242 | |
Pooja Pratik Mehta, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 33 South Service Road, Room 109, Jericho, NY 11753 Phone: 516-750-9760 | |
Dr. Paul Fakih, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 312 North Broadway, Jericho, NY 11753 Phone: 516-738-5548 | |
Form And Function Physical Therapy Pc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Jericho Tpke, Suite 202, Jericho, NY 11753 Phone: 516-532-0734 Fax: 516-465-9656 | |
Kidsperfect Pt Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 67 Forsythia Ln, Jericho, NY 11753 Phone: 917-415-0746 |