D.A.C. PHYSICAL MEDICINE, P.C. (NPI# 1871821504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871821504 |
| Entity Type | Organization |
| Organization Name | D.A.C. PHYSICAL MEDICINE, P.C. |
| Other Organization Name | NORTH SHORE REHAB MEDICINE |
| Practice Address |
55 Northern Blvd Suite 103 Great Neck NY 11021-4058 |
| Practice Telephone | 5164669300 |
| Practice Fax Number | 5164669353 |
| Mailing Telephone | 5164669300 |
| Mailing Fax Number | 5164669353 |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |
| Authorized Official Name | DALE ALEXANDER (OWNER) |
| Authorized Official Telephone | 5164669300 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 229782 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Shore Rehab Medicine | Doing Business As Name - Organization |
| Street Address |
55 NORTHERN BLVD SUITE 103 |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021-4058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629020557 | Egbert Rollorata Sencio | Physical Therapist | 55 Northern Blvd, Ste. 103, Great Neck, NY 11021-4058 | 2006-05-17 |
| 1750826335 | Nelma Y Perater | Physical Therapist | 55 Northern Blvd, Ste. 103, Great Neck, NY 11021-4027 | 2017-01-05 |
| 1093143281 | Jed Jabiguero | Physical Therapist | 55 Northern Blvd, Suite 103, Great Neck, NY 11021-4027 | 2013-10-24 |
| 1528331428 | Eric Roseman | Dentist | 55 Northern Blvd, Suite 203, Great Neck, NY 11021-4027 | 2012-02-23 |
| 1477824324 | Christopher Quiambao | Physical Therapist | 55 Northern Blvd, Great Neck, NY 11021-4027 | 2012-01-24 |
| 1407137474 | Michelle Eubank Spagnoletti | Acupuncturist | 55 Northern Blvd, Suite 103, Great Neck, NY 11021-4027 | 2011-09-06 |
| 1619257276 | Jennifer Aguilos Estrella | Physical Therapist | 55 Northern Blvd, Ste 103, Great Neck, NY 11021-4027 | 2011-08-26 |
| 1649584632 | Decision Nutrition, Pllc | Dietitian, Registered | 55 Northern Blvd, Suite 301, Great Neck, NY 11021-4027 | 2010-08-02 |
| 1770807877 | Ana Rheeda Del Mundo Aguilar | Physical Therapist | 55 Northern Blvd, Great Neck, NY 11021-4027 | 2010-03-17 |
| 1134457344 | Ronald Andrade Labayen | Physical Therapist | 55 Northern Blvd, Suite 103, Great Neck, NY 11021-4027 | 2009-11-27 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386281913 | Ivan Steven Liu | Physical Medicine & Rehabilitation | 1 Mirrielees Rd, Great Neck, NY 11021-2927 | 2019-12-02 |
| 1336548890 | Kelly Dulka | Physical Medicine & Rehabilitation | 98 Cuttermill Rd Ste 100, Great Neck, NY 11021-3012 | 2014-08-20 |
| 1558529990 | Susan Maltser | Physical Medicine & Rehabilitation | 825 Northern Blvd Fl 1, Great Neck, NY 11021-5321 | 2008-05-31 |
| 1548443351 | New York Sport & Rehabilitation Medicine PC | Physical Medicine & Rehabilitation | 140 Middle Neck Rd, Great Neck, NY 11021-1246 | 2007-12-14 |
| 1558583914 | Edna J. Ohebshalom | Physical Medicine & Rehabilitation | 7 Blue Sea Ln, Great Neck, NY 11024-1503 | 2007-05-03 |
| 1265537005 | Eshagh Wiseman | Physical Medicine & Rehabilitation | 21 Cary Rd, Great Neck, NY 11021-1517 | 2006-09-14 |
| 1992773899 | Adam B Stein | Physical Medicine & Rehabilitation | 825 Northern Blvd., 1st Floor, Great Neck, NY 11021 | 2006-03-08 |
| 1215389937 | Maryam Aghalar Physical Medicine and Rehabilitation PC | Physical Medicine & Rehabilitation | 15 William St, Great Neck, NY 11023-1120 | 2016-07-06 |
| 1952787418 | Marcelo F Del Rio | Physical Medicine & Rehabilitation | 475 Northern Blvd, Suite 11, Great Neck, NY 11021-4802 | 2015-08-07 |
| 1831516566 | Justyna Maleski | Physical Medicine & Rehabilitation | 475 Northern Blvd Ste 11, Great Neck, NY 11021-4802 | 2014-03-19 |
| Find all providers in GREAT NECK | ||||
| City | GREAT NECK |
| Zip Code | 11021 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.