Provider Demographics
NPI:1588637318
Name:OLEAN PHYSICAL THERAPY PROFESSIONALS PLLC
Entity Type:Organization
Organization Name:OLEAN PHYSICAL THERAPY PROFESSIONALS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DRONEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS MPT MTC
Authorized Official - Phone:716-372-6787
Mailing Address - Street 1:3132 NYS ROUTE 417
Mailing Address - Street 2:
Mailing Address - City:OLEAN
Mailing Address - State:NY
Mailing Address - Zip Code:14760-1835
Mailing Address - Country:US
Mailing Address - Phone:716-372-6787
Mailing Address - Fax:716-372-3747
Practice Address - Street 1:3132 NYS ROUTE 417
Practice Address - Street 2:
Practice Address - City:OLEAN
Practice Address - State:NY
Practice Address - Zip Code:14760-1835
Practice Address - Country:US
Practice Address - Phone:716-372-6787
Practice Address - Fax:716-372-3747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-10
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0057Medicare PIN
NY1588637318Medicare PIN