# AGEWELL DIAGNOSTICS, INC., Lake Success NY: Physical Therapist (NPI 1366930836)

**Practice Launch & Vendor Spend Score:** 25/100

| Field | Value |
|---|---|
| NPI | 1366930836 |
| Practice | AGEWELL DIAGNOSTICS, INC. |
| Specialty (taxonomy) | Physical Therapist |
| Address | 1999 Marcus Avenue, Suite M15 |
| City | Lake Success |
| State | NY |
| ZIP | 11042 |
| Practice phone | 516-488-8808 |
| Authorized official | Mr. MARK HERBRICH PT |
| Official title | Owner/Pt |
| Enumerated | 2018-04-30 |
| Last updated | 2018-04-30 |
| Status | Active |

## Why this score
- Established practice (enumerated 2018-04-30).
- Practice phone listed.

Source: CMS NPPES NPI Registry (U.S. Centers for Medicare & Medicaid Services) (https://npiregistry.cms.hhs.gov/provider-view/1366930836). Last refreshed: 2026-11-03T01:38:44.844Z.
Data from the public CMS NPPES NPI Registry, which practices maintain themselves and may be out of date. Informational only; respect do-not-call and anti-spam laws when contacting practices.