Provider Demographics
NPI:1053603779
Name:DANSKY, SHELI (PT)
Entity type:Individual
Prefix:
First Name:SHELI
Middle Name:
Last Name:DANSKY
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 1:797 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661-1517
Mailing Address - Country:US
Mailing Address - Phone:201-599-9034
Mailing Address - Fax:201-599-9034
Practice Address - Street 1:797 6TH AVE
Practice Address - Street 2:
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-1517
Practice Address - Country:US
Practice Address - Phone:201-599-9034
Practice Address - Fax:201-599-9034
Is Sole Proprietor?:No
Enumeration Date:2011-05-13
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00132200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist