| Dimitry Pettaway, | |
|
2837 Long Beach Rd, Oceanside, NY 11572-2233 | |
| (516) 461-6919 | |
| Not Available |
| Full Name | Dimitry Pettaway |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2837 Long Beach Rd, Oceanside, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154203164 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dimitry Pettaway, 576 Broadhollow Rd, Melville, NY 11747-5012 Ph: (631) 359-5859 | Dimitry Pettaway, 2837 Long Beach Rd, Oceanside, NY 11572-2233 Ph: (516) 461-6919 |
Lisa Hope Sullivan, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Neil Ct, Inside Jcc, Oceanside, NY 11572 Phone: 516-766-0505 Fax: 516-766-0680 | |
Mr. Brent Anthony Simonds, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3521 Westminster Rd, Oceanside, NY 11572 Phone: 516-816-5732 Fax: 516-992-0420 | |
Jillian Schoell, PT, DPT, C/NDT Physical Therapist Medicare: Medicare Enrolled Practice Location: 3436 Harold St, Oceanside, NY 11572 Phone: 516-779-7236 | |
Diana Koltsova, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3437 Weidner Ave, Oceanside, NY 11572 Phone: 347-422-4867 | |
Christopher Horan, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3941 Bea Ct, Oceanside, NY 11572 Phone: 516-459-9439 Fax: 516-706-2182 | |
Home Advantage Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 3941 Bea Ct, Oceanside, NY 11572 Phone: 516-317-9593 Fax: 516-764-5323 |