MEDICARE: TERESA SWEENEY

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	055397	NY

General Provider Information

NPI Number	:	1710847595
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA SWEENEY

Provider Business Mailing Address
First Line	:	152 KENSINGTON RD S
Second Line	:
City	:	GARDEN CITY SOUTH
State	:	NY
Zip	:	11530-5615
Country	:	US
Telephone Number	:	515-667-9905
Fax Number	:

Provider Business Practice Location Address
First Line	:	152 KENSINGTON RD S
Second Line	:
City	:	GARDEN CITY SOUTH
State	:	NY
Zip	:	11530-5615
Country	:	US
Telephone Number	:	515-667-9905
Fax Number	:

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

Provider Enumeration Date	:	11/14/2025
Last Update Date	:	01/15/2026

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Directions to “ TERESA SWEENEY ” Practice Location

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