Provider Demographics
NPI:1316008824
Name:DUFFY, ANN (PT)
Entity type:Individual
Prefix:MS
First Name:ANN
Middle Name:
Last Name:DUFFY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 W 16TH ST
Mailing Address - Street 2:PHDN
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-6328
Mailing Address - Country:US
Mailing Address - Phone:646-283-1292
Mailing Address - Fax:212-402-5432
Practice Address - Street 1:16 W 16TH ST
Practice Address - Street 2:PHDN
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-6328
Practice Address - Country:US
Practice Address - Phone:646-283-1292
Practice Address - Fax:212-402-5432
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008251-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NS542OtherOXFORD
NY8251-1OtherWORKERS COMPENSATION
NS542OtherOXFORD