Roshan Dominic
Roshan Dominic is a Physical Therapist in Private Practice in Mohegan Lake, New York. Qualified in 2002, 24 years ago. Practices with Visiting PT OT Services PLLC, a 21-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 24
- Licensed in
- NY
- In the registry since
- 2019
Practice location Address checks out
2923 Lexington AveMohegan Lake, NY 10547-1836
Phone: (516) 606-2845
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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 030270 (NY) |
|---|
Record details
| NPI number | 1386287134 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 24, 2019 |
| Last updated in NPPES | October 2, 2020 |
| Certification date | October 2, 2020 |
| Mailing address | 3251 N Deerfield Ave, Yorktown Heights, NY 10598-1909 |
Medicare enrollment
| Medicare specialty | PHYSICAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2002 (24 years in practice) |
| Group practice | Visiting Pt Ot Services Pllc — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Mohegan Lake
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Abiodun Olusina Adeyemi, PT
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Sahadia Adeyemi, DPT
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Dr. Lynn Ann Culbertson, PT, DPT
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Ryan Dalton, PT, DPT
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Amanda Fassbender, DPT
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Ryan Dalton
2804 Stony St, Mohegan Lake, NY 10547-2007 · (845) 901-4240
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Sador Enterprise Inc
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