Individual provider · NPI-1

Leyna Marie Antonucci, DPT

Physical Therapist · Forest Hills, NY

NPI number1013560531
StatusActive
Last updated in NPPESJul 23, 2019

Details

NPI
1013560531
Entity type
Individual (NPI-1)
Name
Leyna Marie Antonucci
Credential
DPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 23, 2019
Last updated
Jul 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

7000 Austin St Ste 200
Forest Hills, NY 11375-4739

Phone 718-762-7633

Mailing address

7000 Austin St Ste 200
Forest Hills, NY 11375-4739

Phone 718-762-7633

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