Agewell Diagnostics, Inc.
NPI #1366930836 in Lake Success, New York
Provider Information
- NPI Number
- 1366930836
- Entity Type
- Organization
- Organization Name
- Agewell Diagnostics, Inc.
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Apr 30, 2018
- Last Updated
- Apr 30, 2018
Practice Location
- Address
- 1999 MARCUS AVENUE
- Address 2
- SUITE M15
- City
- Lake Success
- State
- New York
- ZIP Code
- 11042
- Phone
- (516) 488-8808
Authorized Official
- Name
- MR. MARK HERBRICH, PT
- Title
- OWNER/PT
- Phone
- (516) 488-8808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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