Provider Demographics
NPI:1952366296
Name:VERNASKAS, FELICIA
Entity type:Individual
Prefix:MS
First Name:FELICIA
Middle Name:
Last Name:VERNASKAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24841 RUSHMORE AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLE NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11362-1235
Mailing Address - Country:US
Mailing Address - Phone:718-229-7048
Mailing Address - Fax:
Practice Address - Street 1:68 MERRICK RD
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2739
Practice Address - Country:US
Practice Address - Phone:516-596-1011
Practice Address - Fax:516-596-1306
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020328225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQCW451Medicare PIN
NYQT1831Medicare ID - Type UnspecifiedPHYSICAL THERAPIST