Active NPIIndividual provider

Myra F Madariaga

Physical Therapist in Hauppauge, New York

NPI Number1710566682
Practice location
740 Veterans Memorial Hwy Ste 210, Hauppauge, NY 11788-2310
Fax
—
Last updated
August 26, 2021

Myra Fabrigas Madariaga is a Physical Therapist based in Hauppauge, NY. Myra Fabrigas Madariaga practices in Hauppauge, NY. The NPI Number for Myra Fabrigas Madariaga is 1710566682 and holds a License No. PT5929 (NM). The current practice location address for Myra Fabrigas Madariaga is 740 Veterans Memorial Hwy Ste 210, Hauppauge, NY 11788-2310 and can be reached out via phone at 201-562-0535.

Provider Profile Details

NPI Number
1710566682
Provider Name
Myra Fabrigas Madariaga
Provider Entity Type
Individual
Gender
Female
Address
740 Veterans Memorial Hwy Ste 210, Hauppauge, NY 11788-2310
Phone Number
201-562-0535
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
April 6, 2021
Last Update Date
August 26, 2021
Certification Date
August 26, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
740 Veterans Memorial Hwy Ste 210
Hauppauge, NY 11788-2310
Zip
11788-2310
Phone Number
201-562-0535
Hauppauge, NY 11788Get directions →

Provider Business Mailing Address Details

Address
20 E Church St Apt 6
Bergenfield, NJ 07621-4618
City
Bergenfield
State
NJ
Zip
07621-4618
Phone Number
201-562-0535

License Information

License Number (1)
PT5929
License State (1)
NM
Taxonomy (1)
Physical Therapist · 225100000X · Primary
License Number (2)
046706
License State (2)
NY
Taxonomy (2)
Physical Therapist · 225100000X

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 Myra F Madariaga?

The NPI number of Myra F Madariaga is 1710566682. It was assigned on April 6, 2021 and is currently active in the NPPES registry.

What is the specialty of Myra F Madariaga?

Myra F Madariaga is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NM under license number PT5929.

Where does Myra F Madariaga practice?

The practice location is 740 Veterans Memorial Hwy Ste 210, Hauppauge, NY 11788-2310. The office can be reached at 201-562-0535 (phone).

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 1710566682 directly on the NPPES registry website.

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