Provider Demographics
NPI:1871876961
Name:CONROY, FLORENCE KELLEY (PT)
Entity type:Individual
Prefix:MRS
First Name:FLORENCE
Middle Name:KELLEY
Last Name:CONROY
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 1:13 MCALLISTER DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:12569-7853
Mailing Address - Country:US
Mailing Address - Phone:845-635-8566
Mailing Address - Fax:
Practice Address - Street 1:13 MCALLISTER DR
Practice Address - Street 2:
Practice Address - City:PLEASANT VALLEY
Practice Address - State:NY
Practice Address - Zip Code:12569-7853
Practice Address - Country:US
Practice Address - Phone:845-635-8566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-24
Last Update Date:2011-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
011462-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist