Su Ji Parraga, | |
475 Northern Blvd Ste 11, Great Neck, NY 11021-4802 | |
(516) 829-0030 | |
(516) 466-7723 |
Full Name | Su Ji Parraga |
---|---|
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 |
---|---|---|---|
1558607911 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 034204 (New York) | Primary |
Provider Name | Sports Physical Therapy Occupational Therapy And Rehabilitation Servic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1770540593 PECOS PAC ID: 0446140446 Enrollment ID: O20040315001603 |
Mailing Address | Practice Location Address |
---|---|
Su Ji Parraga, 475 Northern Blvd, Ste 11, Great Neck, NY 11021-4802 Ph: (516) 829-0030 | Su Ji Parraga, 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 |