Provider Demographics
NPI:1952289241
Name:MCNAMARA, PAUL E JR (PT, MSPT)
Entity type:Individual
Prefix:MR
First Name:PAUL
Middle Name:E
Last Name:MCNAMARA
Suffix:JR
Gender:M
Credentials:PT, MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2095 BEECH ST
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-4232
Mailing Address - Country:US
Mailing Address - Phone:516-316-8566
Mailing Address - Fax:
Practice Address - Street 1:2095 BEECH ST
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-4232
Practice Address - Country:US
Practice Address - Phone:516-316-8566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026741225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist