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Agewell Diagnostics, Inc.

Physical Therapist in Lake Success, NY · enumerated 2018 · authorized official Mark Herbrich, Owner/Pt.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366930836

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Registry record

Entity type Organization (Type 2)
Legal business name Agewell Diagnostics, Inc.
Practice address 1999 Marcus Avenue, Suite M15, Lake Success, NY, 11042
Phone (516) 488-8808
Fax (516) 488-8808
Enumeration date Apr 30, 2018
Last updated in NPPES Apr 30, 2018

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 015532-1 (NY) Primary

Authorized official

Name Mark Herbrich
Title Owner/Pt
Phone (516) 488-8808

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Agewell Diagnostics, Inc. located?
The practice location on file with NPPES is in Lake Success, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-04-30. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-04-30.