| Roshan Dominic, | |
|
2923 Lexington Ave, Mohegan Lake, NY 10547-1836 | |
| (516) 606-2845 | |
| Not Available |
| Full Name | Roshan Dominic |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 24 Years |
| Location | 2923 Lexington Ave, Mohegan Lake, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386287134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 030270 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Visiting Pt Ot Services Pllc | 1153721899 | 20 |
| Provider Name | Visiting Pt Ot Services Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1285232082 PECOS PAC ID: 1153721899 Enrollment ID: O20210616003229 |
| Mailing Address | Practice Location Address |
|---|---|
| Roshan Dominic, 3251 N Deerfield Ave, Yorktown Heights, NY 10598-1909 Ph: () - | Roshan Dominic, 2923 Lexington Ave, Mohegan Lake, NY 10547-1836 Ph: (516) 606-2845 |
Ryan Dalton Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2804 Stony St, Mohegan Lake, NY 10547 Phone: 845-901-4240 | |
Mrs. Jaime Fitzgerald, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1471 Ivy Rd, Mohegan Lake, NY 10547 Phone: 914-603-3841 Fax: 914-603-3841 | |
Dr. Lynn Ann Culbertson, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3098 Maqua Pl, Mohegan Lake, NY 10547 Phone: 914-714-3794 Fax: 914-743-1724 | |
Sahadia Adeyemi, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3424 Stoney St, Mohegan Lake, NY 10547 Phone: 914-514-0537 | |
Ryan Dalton, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2804 Stony St, Mohegan Lake, NY 10547 Phone: 845-901-4240 | |
Mrs. Patricia Ann Marcus, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1573 Wenonah Trail, Mohegan Lake, NY 10547 Phone: 914-656-6565 |