Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 0592919 | NY |
N | 225100000X | Physical Therapist | PT007941L | PA |
N | 2251S0007X | Physical Therapist - Sports | DAPT002414 | PA |
NPI | 1497992812 |
---|---|
Provider Name | Joseph Thomas Molony JR. |
First Address | New York, NY 10021-4823 |
Second Address | New York, NY 10021-4823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2009 |
Last Update Date | 23/04/2021 |