Ma Mikka Egang Sayon

Individual provider Active NPI Physical Therapist · Richmond Hill, NY

NPI 1700640307 · NPPES record last updated Feb 13, 2024

Key facts

NPI
1700640307
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
051474 (NY)
Practice address
107-02R Jamaica Avenue
Richmond Hill, NY 11418
Phone
(347) 829-3890
Fax
(347) 829-3888
NPI assigned
Feb 13, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
051474NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Care PT PC Physical Therapist Current
since Feb 18, 2024
Accepting new patients

Locations

10702 Jamaica Ave
#R
Richmond Hill, NY 11418
Phone (347) 829-3840

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 051474 NY Yes

Addresses

Primary practice location

107-02R Jamaica Avenue
Richmond Hill, NY 11418

Mailing address

107-02R Jamaica Avenue
Richmond Hill, NY 11418
Phone (347) 829-3890

Other providers in Richmond Hill, NY

All providers in Richmond Hill, NY · Physical Therapist in New York

Sources for this page

Verify at the official NPI Registry.