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

Vannisa Pelage

Individual provider Physical Therapy Assistant · NPI 1366106197

Vannisa Pelage is a Physical Therapy Assistant in Great Neck, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
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Practice location Address checks out

475 Northern Blvd
Great Neck, NY 11021-4819
Phone: (917) 968-8497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 012703-01 (NY)

Record details

NPI number1366106197
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 27, 2021
Last updated in NPPESOctober 27, 2021
Certification dateOctober 27, 2021
Mailing address1072 Rogers Ave Apt 1, Brooklyn, NY 11226-6221

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