Provider Demographics
NPI:1023083052
Name:MALONEY, DANIEL W (BS IN PHY THERAPY)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:W
Last Name:MALONEY
Suffix:
Gender:M
Credentials:BS IN PHY THERAPY
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Other - First Name:
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Mailing Address - Street 1:736 BROADWAY
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-9519
Mailing Address - Country:US
Mailing Address - Phone:212-982-2054
Mailing Address - Fax:212-473-6781
Practice Address - Street 1:736 BROADWAY
Practice Address - Street 2:6TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-9519
Practice Address - Country:US
Practice Address - Phone:212-982-2054
Practice Address - Fax:212-473-6781
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY002319225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02365593Medicaid