| L.i. Pro Physical Therapy P.c. | |
|
11 Canby Ct, West Islip, NY 11795-2309 | |
| (631) 873-6100 | |
| Not Available |
| Full Name | L.i. Pro Physical Therapy P.c. |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 11 Canby Ct, West Islip, 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 |
|---|---|---|---|
| 1104164656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 031214-1 (New York) | Primary |
| Provider Name | Justin A Minerva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124324942 PECOS PAC ID: 5092993097 Enrollment ID: I20110622000089 |
| Mailing Address | Practice Location Address |
|---|---|
| L.i. Pro Physical Therapy P.c. 11 Canby Ct, West Islip, NY 11795-2309 Ph: (631) 873-6100 | L.i. Pro Physical Therapy P.c. 11 Canby Ct, West Islip, NY 11795-2309 Ph: (631) 873-6100 |
Anthony Joseph Sansotta, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 Montauk Hwy Ste 103, West Islip, NY 11795 Phone: 631-661-3700 | |
Kathleen K Febos, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 Montauk Hwy, Suite# 103, West Islip, NY 11795 Phone: 631-661-3700 Fax: 631-661-3749 | |
Mrs. Alison Yahn Northorn, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 67 Highland Ave, West Islip, NY 11795 Phone: 631-669-0155 | |
Christopher Goodman, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 255 Higbie Ln, West Islip, NY 11795 Phone: 631-661-3180 Fax: 631-661-3183 | |
Mr. Brian Vincent Becker, PT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 175 Sunrise Hwy, West Islip, NY 11795 Phone: 631-321-1100 | |
Bonnie Veraszto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Montauk Hwy, Good Samaritan Hospital, West Islip, NY 11795 Phone: 631-376-4901 |