Susanna N Ivask, is a
Physical Therapist based in Glen Cove, New York. Susanna N Ivask is licensed to practice in New York (license number 005752) and her current practice location is
25 Cove St Apt 1, Glen Cove, New York. She can be reached at her office (for appointments etc.) via phone at
(631) 275-3862.
NPI number for Susanna N Ivask is 1679411540 and her current mailing address is 25 Cove St Apt 1, Glen Cove, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679411540.
Provider's Profile
| Full Name | Susanna N Ivask |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 25 Cove St Apt 1, Glen Cove, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679411540
- Provider Enumeration Date: 03/23/2026
- Last Update Date: 03/23/2026
Medical Identifiers
Medical identifiers for Susanna N Ivask such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679411540 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 164W00000X | Licensed Practical Nurse | 355529 (New York) | Secondary |
| 225100000X | Physical Therapist | 005752 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susanna N Ivask is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Susanna N Ivask, 25 Cove St Apt 1, Glen Cove, NY 11542-2787 Ph: () - | Susanna N Ivask, 25 Cove St Apt 1, Glen Cove, NY 11542-2787 Ph: (631) 275-3862 |
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