Provider Demographics
NPI:1558679811
Name:DUNNE, BRIGID MARIE (DPT)
Entity Type:Individual
Prefix:
First Name:BRIGID
Middle Name:MARIE
Last Name:DUNNE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1991 MARCUS AVE STE M115
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-3000
Mailing Address - Country:US
Mailing Address - Phone:516-467-8730
Mailing Address - Fax:929-455-9148
Practice Address - Street 1:1991 MARCUS AVE STE M115
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-3000
Practice Address - Country:US
Practice Address - Phone:516-467-8730
Practice Address - Fax:929-455-9148
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0212052251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic