Provider Demographics
NPI:1225706328
Name:CONROY, SARAH L (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:L
Last Name:CONROY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 BARNES LN
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-3103
Mailing Address - Country:US
Mailing Address - Phone:631-513-8016
Mailing Address - Fax:
Practice Address - Street 1:2 SOULAGNET CT
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-6054
Practice Address - Country:US
Practice Address - Phone:516-659-1087
Practice Address - Fax:516-900-5092
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2021-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046713225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist