MEDICARE: JOSHUA M PRAWER DPT

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	225100000X	Physical Therapist	043911	NY

General Provider Information

NPI Number	:	1982172565
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA M PRAWER DPT

Provider Business Mailing Address
First Line	:	960 RAILROAD AVE
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-1644
Country	:	US
Telephone Number	:	516-374-5310
Fax Number	:	516-374-4450

Provider Business Practice Location Address
First Line	:	945 BROADWAY
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-1733
Country	:	US
Telephone Number	:	516-374-5310
Fax Number	:	516-374-4450

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/13/2018
Last Update Date	:	01/13/2025

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