Provider Demographics
NPI:1679769780
Name:DANIEL OEST PT PC
Entity type:Organization
Organization Name:DANIEL OEST PT PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-935-2067
Mailing Address - Street 1:3487 WOODWARD AVE
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-4031
Mailing Address - Country:US
Mailing Address - Phone:516-935-2067
Mailing Address - Fax:516-935-2017
Practice Address - Street 1:17 W JOHN ST
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-1001
Practice Address - Country:US
Practice Address - Phone:516-935-2067
Practice Address - Fax:516-935-2017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-21
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0253281225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ5WHB1Medicare PIN
NYDAOQ5WHB10Medicare PIN