MEDICARE: MS. KATRENE MARIE DELANEY PT

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	021953	NY
2	174400000X	Specialist	0219531	NY

General Provider Information

NPI Number	:	1104989805
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATRENE MARIE DELANEY PT

Provider Business Mailing Address
First Line	:	612 CORPORATE WAY STE 2M
Second Line	:
City	:	VALLEY COTTAGE
State	:	NY
Zip	:	10989-2027
Country	:	US
Telephone Number	:	718-362-1411
Fax Number	:	718-362-1651

Provider Business Practice Location Address
First Line	:	100 ROUTE 59
Second Line	:	SUITE 103
City	:	SUFFERN
State	:	NY
Zip	:	10901-4927
Country	:	US
Telephone Number	:	845-368-4111
Fax Number	:	845-368-4114

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

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	02/20/2026

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