Provider Demographics
NPI:1316192719
Name:DELANEY, CHRISTINE JOYCE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:JOYCE
Last Name:DELANEY
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:JOYCE
Other - Last Name:FREDERICKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS PT
Mailing Address - Street 1:3138 BIRCH PL
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-3805
Mailing Address - Country:US
Mailing Address - Phone:631-988-8338
Mailing Address - Fax:516-809-5920
Practice Address - Street 1:3138 BIRCH PL
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-3805
Practice Address - Country:US
Practice Address - Phone:631-988-8338
Practice Address - Fax:516-809-5920
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-26
Last Update Date:2008-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015333-012251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics