Provider Demographics
NPI:1659789824
Name:PRNY, PC
Entity Type:Organization
Organization Name:PRNY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARISSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MUCCIO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:973-628-1300
Mailing Address - Street 1:265 RTE 46
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-1820
Mailing Address - Country:US
Mailing Address - Phone:973-628-1300
Mailing Address - Fax:973-628-0300
Practice Address - Street 1:820 2ND AVE RM 7
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-4528
Practice Address - Country:US
Practice Address - Phone:973-628-1300
Practice Address - Fax:973-628-0300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037604-1261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy