Healthcare Provider Details

I. General information

NPI: 1548558026
Provider Name (Legal Business Name): CHRISTINA AURITI DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2011
Last Update Date: 01/03/2020
Certification Date: 01/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 NORTHERN BLVD STE 106B
GREAT NECK NY
11021-5100
US

IV. Provider business mailing address

560 NORTHERN BLVD STE 106B
GREAT NECK NY
11021-5100
US

V. Phone/Fax

Practice location:
  • Phone: 516-466-6164
  • Fax: 516-304-5712
Mailing address:
  • Phone: 516-466-6164
  • Fax: 516-304-5712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number033944-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: