Provider Demographics
NPI:1952525610
Name:LEMIEUX, RENEE SYLVIE (PT)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:SYLVIE
Last Name:LEMIEUX
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 FOSS DR
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-1101
Mailing Address - Country:US
Mailing Address - Phone:845-358-0392
Mailing Address - Fax:845-786-4650
Practice Address - Street 1:51-55 NORTH ROUTE 9W HELEN HAYES HOSPITAL
Practice Address - Street 2:
Practice Address - City:WEST HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10993
Practice Address - Country:US
Practice Address - Phone:845-786-4640
Practice Address - Fax:845-786-4650
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019960-1225100000X
NJ40QA01107900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist