| Priyal Ankit Modi, | |
|
475 Northern Blvd Ste 11, Great Neck, NY 11021-4802 | |
| (516) 829-0030 | |
| (516) 466-7723 |
| Full Name | Priyal Ankit Modi |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 475 Northern Blvd Ste 11, 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 |
|---|---|---|---|
| 1558981167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 045594 (New York) | Primary |
| Provider Name | Dynamic Physical Therapy Services Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1497717375 PECOS PAC ID: 2961390026 Enrollment ID: O20040309001195 |
| Mailing Address | Practice Location Address |
|---|---|
| Priyal Ankit Modi, 1254 Central Park Ave, Ste 3, Yonkers, NY 10704-1059 Ph: (914) 294-0080 | Priyal Ankit Modi, 475 Northern Blvd Ste 11, Great Neck, NY 11021-4802 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 |