Provider Demographics
NPI:1104018712
Name:ROONEY, ANNA MARIA (PT)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIA
Last Name:ROONEY
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 1:165 W 46TH ST
Mailing Address - Street 2:SUITE 609
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-2520
Mailing Address - Country:US
Mailing Address - Phone:212-938-0100
Mailing Address - Fax:212-938-0102
Practice Address - Street 1:165 W 46TH ST
Practice Address - Street 2:SUITE 609
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-2520
Practice Address - Country:US
Practice Address - Phone:212-938-0100
Practice Address - Fax:212-938-0102
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-16
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021274225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist