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Dimitra Bissainthe

Physical Therapy Assistant in Floral Park, NY. Individual provider (NPI-1).

NPI number1699401950
StatusActive
Last updated in NPPESJul 28, 2022

Details

NPI
1699401950
Entity type
Individual (NPI-1)
Name
Dimitra Bissainthe
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 28, 2022
Certification date
Jul 28, 2022
Last updated
Jul 28, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant005217-01NYYes

Practice location

303 Frederick Ave
Floral Park, NY 11001-3554

Phone 516-410-3312

Mailing address

303 Frederick Ave
Floral Park, NY 11001-3554

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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