Organization
HENNESSY PTA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE HENNESSY PTA (OWNER)
(917) 848-3594
Entity
Organization
Contact information
Practice address
226 E 54TH ST STE 501, NEW YORK, NY 10022-4854
(917) 848-3594
(917) 848-3594
Mailing address
3215 30TH ST APT B45, ASTORIA, NY 11106-2978
(917) 848-3594
(917) 848-3594
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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