Judith L Leib Annunziata, PT
Individual provider Active NPI Physical Therapist · N Merrick, NY
NPI 1114064847 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114064847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 005843-1 (NY)
- Practice address
- 96 Winifred Dr
N Merrick, NY 11566-1725 - Phone
- (516) 378-1405
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005843-1 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 005843-1 | NY | Yes |
Addresses
Primary practice location
96 Winifred Dr
N Merrick, NY 11566-1725
Mailing address
96 Winifred Dr
N Merrick, NY 11566-1725
Phone (516) 378-1405
Other providers in N Merrick, NY
- 20-20 Pathways LCSW PLLC
- Margaret Mary Callaghan
- Allison M Castellano
- Joshua W Connor
- Victoria A. Hulton
- Alberto Lopez
All providers in N Merrick, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.