Healthcare Provider Details

I. General information

NPI: 1497220685
Provider Name (Legal Business Name): LINDSAY ANNE BUTTERFIELD PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2018
Last Update Date: 10/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

159 EAST 74TH STREET 1ST FLOOR
NEW YORK NY
10021-3235
US

IV. Provider business mailing address

159 EAST 74TH STREET 1ST FLOOR
NEW YORK NY
10021-3235
US

V. Phone/Fax

Practice location:
  • Phone: 212-439-1596
  • Fax: 212-439-1608
Mailing address:
  • Phone: 212-439-1596
  • Fax: 212-439-1608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberP13327
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: