MEDICARE: MR. DANIEL W MALONEY B.S. IN PHY. THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	002319	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023083052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL W MALONEY B.S. IN PHY. THERAPY

Provider Business Mailing Address
First Line	:	736 BROADWAY
Second Line	:	6TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10003-9519
Country	:	US
Telephone Number	:	212-982-2054
Fax Number	:	212-473-6781

Provider Business Practice Location Address
First Line	:	736 BROADWAY
Second Line	:	6TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10003-9519
Country	:	US
Telephone Number	:	212-982-2054
Fax Number	:	212-473-6781

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2006
Last Update Date	:	07/08/2007

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