Active NPIIndividual provider

Mr. Praveen G Issac, PT

Physical Therapist in Carmel, New York

NPI Number1578817912
Practice location
670 Stoneleigh Ave, Carmel, NY 10512-3997
Fax
845-279-2059
Last updated
November 7, 2012

Praveen George Issac is a Physical Therapist based in Carmel, NY. Praveen George Issac practices in Carmel, NY and has the professional credentials of PT. The NPI Number for Praveen George Issac is 1578817912 and holds a License No. 034988 (NY). The current practice location address for Praveen George Issac is 670 Stoneleigh Ave, Carmel, NY 10512-3997 and can be reached out via phone at 845-279-5711 and via fax at 845-279-2059.

Provider Profile Details

NPI Number
1578817912
Provider Name
Praveen George Issac
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
670 Stoneleigh Ave, Carmel, NY 10512-3997
Phone Number
845-279-5711
Fax Number
845-279-2059
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
November 7, 2012
Last Update Date
November 7, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
670 Stoneleigh Ave
Carmel, NY 10512-3997
City
Carmel
Zip
10512-3997
Phone Number
845-279-5711
Fax Number
845-279-2059
Carmel, NY 10512Get directions →

Provider Business Mailing Address Details

Address
670 Stoneleigh Ave
Carmel, NY 10512-3997
City
Carmel
State
NY
Zip
10512-3997
Phone Number
845-279-5711
Fax Number
845-279-2059

License Information

License Number
034988
License State
NY
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Praveen G Issac, PT?

The NPI number of Mr. Praveen G Issac, PT is 1578817912. It was assigned on November 7, 2012 and is currently active in the NPPES registry.

What is the specialty of Mr. Praveen G Issac, PT?

Mr. Praveen G Issac, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 034988.

Where does Mr. Praveen G Issac, PT practice?

The practice location is 670 Stoneleigh Ave, Carmel, NY 10512-3997. The office can be reached at 845-279-5711 (phone) or 845-279-2059 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578817912 directly on the NPPES registry website.

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