Provider Demographics
NPI:1356774780
Name:DALY, PAIGE (PT)
Entity type:Individual
Prefix:MS
First Name:PAIGE
Middle Name:
Last Name:DALY
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 1:21 42 UTOPIA PARKWAY
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-4142
Mailing Address - Country:US
Mailing Address - Phone:718-767-0610
Mailing Address - Fax:
Practice Address - Street 1:90 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:GREENVALE
Practice Address - State:NY
Practice Address - Zip Code:11548-1213
Practice Address - Country:US
Practice Address - Phone:516-626-5080
Practice Address - Fax:516-626-5081
Is Sole Proprietor?:No
Enumeration Date:2013-08-21
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036661225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist