Provider Demographics
NPI:1043923899
Name:KENIG, NAAMA (DPT, NCS)
Entity Type:Individual
Prefix:
First Name:NAAMA
Middle Name:
Last Name:KENIG
Suffix:
Gender:F
Credentials:DPT, NCS
Other - Prefix:
Other - First Name:NAAMA
Other - Middle Name:
Other - Last Name:ANTELIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT, NCS
Mailing Address - Street 1:5 SYCAMORE LN
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-3331
Mailing Address - Country:US
Mailing Address - Phone:848-702-9099
Mailing Address - Fax:
Practice Address - Street 1:5 SYCAMORE LN
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-3331
Practice Address - Country:US
Practice Address - Phone:848-702-9099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-26
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0367402251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology