| Dynamic Physical Therapy P.c. | |
|
936 Roosevelt St, Franklin Square, NY 11010-2938 | |
| (516) 355-0547 | |
| (516) 326-8251 |
| Full Name | Dynamic Physical Therapy P.c. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 936 Roosevelt St, Franklin Square, 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 |
|---|---|---|---|
| 1053640904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 013503 (New York) | Secondary |
| 225100000X | Physical Therapist | 011955 (New York) | Primary |
| Provider Name | John Pj Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578618823 PECOS PAC ID: 3476681131 Enrollment ID: I20100518000012 |
| Provider Name | Michael Hadjiyane |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174678627 PECOS PAC ID: 2567590227 Enrollment ID: I20100518000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Physical Therapy P.c. 936 Roosevelt St, Franklin Square, NY 11010-2938 Ph: (516) 355-0547 | Dynamic Physical Therapy P.c. 936 Roosevelt St, Franklin Square, NY 11010-2938 Ph: (516) 355-0547 |
Chae Lin Yoo, Physical Therapist Medicare: Medicare Enrolled Practice Location: 925 Hempstead Tpke # 310, Franklin Square, NY 11010 Phone: 516-354-3980 | |
Gregory Pando, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 340 Dogwood Ave, Franklin Square, NY 11010 Phone: 516-437-5300 Fax: 516-437-2936 | |
Mrs. Susan Sisselman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 562 Dogwood Avenue, Franklin Square, NY 11010 Phone: 516-538-2259 Fax: 516-292-0817 | |
Stephanie Lynn Barken, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 925 Hempstead Tpke Ste 310, Franklin Square, NY 11010 Phone: 516-354-3980 | |
Gabriella Davidson, PT,DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 925 Hempstead Tpke Ste 310, Franklin Square, NY 11010 Phone: 516-354-3980 | |
Francesco Vaccaro, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 820 Hempstead Tpke, Franklin Square, NY 11010 Phone: 516-358-8911 |