Jonathan Adam Venegas in Glen Cove - Physical Therapist

Jonathan Adam Venegas - NPI 1962572552

Jonathan Adam Venegas is a Physical Therapist in Glen Cove, New York. Jonathan Adam Venegas practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Jonathan Adam Venegas is 1962572552. The last update date is 2007-07-08.

Jonathan Adam Venegas's current location address is 25 Rellim Dr, Glen Cove, New York. You can contact this provider via phone number 5168010779 and fax number 5167811013. The mailing address for Jonathan Adam Venegas is 25 Rellim Dr, Glen Cove, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan Adam Venegas
Address 25 Rellim Dr, Glen Cove, New York
Phone Number 5168010779
Fax Number 5167811013
Sole Proprietor N
Credentials PT

NPI Number Detail

NPI Number 1962572552
Provider Enumeration Date 2006-11-09
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 25 Rellim Dr
City Glen Cove
State New York (NY)
Post Code 115424023
Phone Number 5168010779
Fax Number 5167811013

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 015585-1
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
A3394616 NY OXFORD
1877505 NY UNITED HEALTH CARE

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FAQs about Jonathan Adam Venegas

What is the unique identifier code issued to Jonathan Adam Venegas by the Centers for Medicare & Medicaid Services?

The Jonathan Adam Venegas has been assigned the NPI (National Provider Identifier) 1962572552. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jonathan Adam Venegas is physically located?

The Jonathan Adam Venegas is situated at the following address: 25 Rellim Dr, Glen Cove, NY 115424023.

What is Jonathan Adam Venegas's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jonathan Adam Venegas is Physical Therapist, and the taxonomy code that classifies this field of practice is 225100000X.

On what date did Jonathan Adam Venegas receive its 1962572552 assignment from the Centers for Medicare & Medicaid Services?

The Jonathan Adam Venegas was assigned its 1962572552 on 2006-11-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Jonathan Adam Venegas's details last updated?

The information pertaining to the Jonathan Adam Venegas, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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