Provider Demographics
NPI:1881824944
Name:NEALON, VERONICA CHRISTMAN (MS, PT)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:CHRISTMAN
Last Name:NEALON
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 OGSTON TER
Mailing Address - Street 2:
Mailing Address - City:MALVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11565-1424
Mailing Address - Country:US
Mailing Address - Phone:516-593-3899
Mailing Address - Fax:
Practice Address - Street 1:39 OGSTON TER
Practice Address - Street 2:
Practice Address - City:MALVERNE
Practice Address - State:NY
Practice Address - Zip Code:11565-1424
Practice Address - Country:US
Practice Address - Phone:516-593-3899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013173-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist