Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Agewell Diagnostics, Inc

Organization Physical Therapist · NPI 1366930836

Agewell Diagnostics, Inc is a Physical Therapist in Lake Success, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1999 Marcus Ave Ste M15
Lake Success, NY 11042
Phone: (516) 488-8808
Fax: (516) 488-8808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 015532-1 (NY)

Record details

NPI number1366930836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Herbrich — Owner/Pt · (516) 488-8808
NPI enumeratedApril 30, 2018
Last updated in NPPESApril 30, 2018
Mailing address1999 Marcus Avenue, Suite M15, Lake Success, NY 11042

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