Provider Demographics
NPI:1326487240
Name:TOUGHEY, GERARD (PT)
Entity Type:Individual
Prefix:MR
First Name:GERARD
Middle Name:
Last Name:TOUGHEY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 HEADLINE RD
Mailing Address - Street 2:
Mailing Address - City:DEER PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11729-6207
Mailing Address - Country:US
Mailing Address - Phone:631-447-1819
Mailing Address - Fax:
Practice Address - Street 1:35 HEADLINE RD
Practice Address - Street 2:
Practice Address - City:DEER PARK
Practice Address - State:NY
Practice Address - Zip Code:11729-6207
Practice Address - Country:US
Practice Address - Phone:631-447-1819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0278211225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist