OrganizationActive
Lake Success Physical Therapy P.C.
NPI 1336604222 · Clinical Electrophysiology Physical Therapist · New Hyde Park, NY
Provider details
- NPI number
- 1336604222
- Entity type
- Organization
- Primary specialty
- Clinical Electrophysiology Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Michelle Dragan, Business Manager(516) 488-8808
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1999 Marcus Ave Ste M15
New Hyde Park, NY 11042-1023
Phone: (516) 488-8808
Fax: (516) 488-8818
Approximate (ZIP-level) locationGet directions
Mailing address
1999 Marcus Ave Ste M15
New Hyde Park, NY 11042-1023
Registry dates
- Enumerated
- 2019-02-05
- Last updated
- 2019-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.