MEDICARE: LENOX CARE PHYSICAL THERAPY SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1578921805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LENOX CARE PHYSICAL THERAPY SERVICES PLLC

Provider Business Mailing Address
First Line	:	131 W 135TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10030-2922
Country	:	US
Telephone Number	:	212-281-8674
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 W 135TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10030-2922
Country	:	US
Telephone Number	:	212-281-8674
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/OWNER
Name	:	JOANNE LEDERLIE NASOL
Credential	:
Telephone Number	:	718-581-4457

Provider Enumeration Date	:	02/01/2016
Last Update Date	:	02/01/2016

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