Ms Diana Lynn Panullo, - Physical Therapist in Roosevelt, NY

Ms Diana Lynn Panullo, is a Physical Therapist - Pediatrics based in Roosevelt, New York. Ms Diana Lynn Panullo is licensed to practice in New York (license number 002314-1) and her current practice location is 380 Washington Ave, Roosevelt, New York. She can be reached at her office (for appointments etc.) via phone at (516) 378-2000.

NPI number for Ms Diana Lynn Panullo is 1336393446 and her current mailing address is Po Box 7620, Wantagh, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336393446.

Contact Information

Ms Diana Lynn Panullo,
380 Washington Ave,
Roosevelt, NY 11575-1845
(516) 378-2000
Not Available



Healthcare Provider's Profile

Full NameMs Diana Lynn Panullo
GenderFemale
SpecialityPhysical Therapist - Pediatrics
Location380 Washington Ave, Roosevelt, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336393446
  • Provider Enumeration Date: 11/17/2008
  • Last Update Date: 11/17/2008

Medical Identifiers

Medical identifiers for Ms Diana Lynn Panullo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336393446NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251P0200XPhysical Therapist - Pediatrics 002314-1 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Diana Lynn Panullo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Diana Lynn Panullo,
Po Box 7620,
Wantagh, NY 11793-7620

Ph: (516) 378-2000
Ms Diana Lynn Panullo,
380 Washington Ave,
Roosevelt, NY 11575-1845

Ph: (516) 378-2000

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Physical Therapist in Roosevelt, NY

Dr. Jill Anne Mandel, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 380 Washington Ave, Roosevelt, NY 11575
Phone: 516-378-2000    
Kathryn Yates Gray, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 380 Washington Ave, Roosevelt, NY 11575
Phone: 516-378-2000    
Mr. Symong Choi, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 380 Washington Ave, Roosevelt, NY 11575
Phone: 516-378-2000    
Claudia Olender,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 380 Washington Ave, Roosevelt, NY 11575
Phone: 516-378-2000    
Mrs. Tawana Nicole Mateo, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 380 Washington Ave, Roosevelt, NY 11575
Phone: 516-378-2000    
Mr. Bobby Nabeyama, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 360 Washington Ave, Roosevelt, NY 11575
Phone: 516-378-2000    

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