Provider Demographics
NPI:1306930433
Name:KORNFELD, LANA (PT)
Entity type:Individual
Prefix:
First Name:LANA
Middle Name:
Last Name:KORNFELD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SVETLANA
Other - Middle Name:P
Other - Last Name:ZARKH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 RYE RIDGE PLAZA
Mailing Address - Street 2:SUITE 219 PHYSICAL THERAPY GROUP OF WESTCHESTER PC
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573
Mailing Address - Country:US
Mailing Address - Phone:914-253-6457
Mailing Address - Fax:914-253-6458
Practice Address - Street 1:10 RYE RIDGE PLAZA
Practice Address - Street 2:SUITE 219 PHYSICAL THERAPY GROUP OF WESTCHESTER PC
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573
Practice Address - Country:US
Practice Address - Phone:914-253-6457
Practice Address - Fax:914-253-6458
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027183-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ30P11Medicare PIN