Most Relevant Information
Provider Data
| NPI Number: | 1003314964 |
| Provider Name: | SUSAN CAROL LENIHAN PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 005784 |
Most Important Dates
| Enumeration Date: | 01/25/2018 |
| Last Updated: | 12/28/2021 |
Provider Practice Location
475 NORTHERN BLVD STE 11
GREAT NECK
NY
110214802
Practice Location Phone/Fax
| Phone: | 5168290030 |
| Fax: | 5164667723 |
Provider Mailing Location
475 NORTHERN BLVD STE 27
GREAT NECK
NY
110214802
Provider Mailing Phone/Fax
| Phone: | 5168290030 |
| Fax: | 5164667723 |