Provider Demographics
NPI:1548325095
Name:DOYLE, MAURA HONORA (PT, DPT, MS, PCS)
Entity type:Individual
Prefix:DR
First Name:MAURA
Middle Name:HONORA
Last Name:DOYLE
Suffix:
Gender:F
Credentials:PT, DPT, MS, PCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 E 20TH ST
Mailing Address - Street 2:ROOM 218
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-1804
Mailing Address - Country:US
Mailing Address - Phone:914-318-5199
Mailing Address - Fax:
Practice Address - Street 1:320 E 20TH ST
Practice Address - Street 2:ROOM 218
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-1804
Practice Address - Country:US
Practice Address - Phone:914-318-5199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-26
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021921225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist