Healthcare Provider Details

I. General information

NPI: 1407834484
Provider Name (Legal Business Name): CYNTHIA HAMBY PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 10/25/2023
Certification Date: 10/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 N BROADWAY
HICKSVILLE NY
11801-2920
US

IV. Provider business mailing address

65 CURLEY ST
LONG BEACH NY
11561-2711
US

V. Phone/Fax

Practice location:
  • Phone: 516-622-9515
  • Fax: 516-622-9518
Mailing address:
  • Phone: 516-967-7276
  • Fax: 516-442-0754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number010802-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number10802
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: