Individual
ANN MARIE HENNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
226 E 54TH ST STE 501, NEW YORK, NY 10022-4854
(917) 848-3594
Mailing address
3215 30TH ST APT B45, ASTORIA, NY 11106-2978
(917) 848-3594
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
014210-01
NY
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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