MEDICARE: CHRISTINA SAMBORSKY DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	047139	NY

General Provider Information

NPI Number	:	1801562574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA SAMBORSKY DPT

Provider Business Mailing Address
First Line	:	38 LAHEY ST
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-1717
Country	:	US
Telephone Number	:	516-424-3238
Fax Number	:

Provider Business Practice Location Address
First Line	:	127 E MAIN ST
Second Line	:
City	:	SMITHTOWN
State	:	NY
Zip	:	11787-2840
Country	:	US
Telephone Number	:	631-880-7577
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2021
Last Update Date	:	08/21/2021

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