Provider Demographics
NPI:1396879748
Name:DULAY, ANNA LORAINE
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:LORAINE
Last Name:DULAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 SANDUSKY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-6917
Mailing Address - Country:US
Mailing Address - Phone:646-301-5229
Mailing Address - Fax:
Practice Address - Street 1:REHAB1ONE PC
Practice Address - Street 2:314 52ND ST
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220
Practice Address - Country:US
Practice Address - Phone:917-696-8896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027235171W00000X, 261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No171W00000XOther Service ProvidersContractor