Provider Demographics
NPI:1356042469
Name:DANIEL LEAHEY PHYSICAL THERAPY
Entity type:Organization
Organization Name:DANIEL LEAHEY PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:LEAHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-788-9143
Mailing Address - Street 1:565 GROVE ST APT A13
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3150
Mailing Address - Country:US
Mailing Address - Phone:201-788-9143
Mailing Address - Fax:201-849-5154
Practice Address - Street 1:1 BRIDGE PLZ N STE 810
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-7110
Practice Address - Country:US
Practice Address - Phone:201-773-4644
Practice Address - Fax:201-849-5154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty