Provider Demographics
NPI:1265406599
Name:HORRIGAN, DENNIS LESLIE (PT)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:LESLIE
Last Name:HORRIGAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 CENTER RD
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-2157
Mailing Address - Country:US
Mailing Address - Phone:716-674-1509
Mailing Address - Fax:716-674-1787
Practice Address - Street 1:560 CENTER RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-2157
Practice Address - Country:US
Practice Address - Phone:716-674-1509
Practice Address - Fax:716-674-1787
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010803-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000623525002OtherCOMMUNITY BLUE
NY9390360OtherINDEPENDENT HEALTH
NY00011197201OtherUNIVERA
NY9390360OtherINDEPENDENT HEALTH