Individual
BRIAN MCNEANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1367 WASHINGTON AVE, ALBANY, NY 12206-1069
(518) 438-7926
(518) 438-8364
Mailing address
711 TROY SCHENECTADY RD, SUITE 209, LATHAM, NY 12110-2442
(518) 786-1667
(518) 786-1954
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
036150
NY
225100000X
Physical Therapist
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01216962
RR MEDICARE
NY
Enumeration date
09/04/2012
Last updated
12/15/2014
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