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NPI 1801562574

NPI 1801562574 : CHRISTINA SAMBORSKY DPT : SMITHTOWN, NY

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General NPI Number Information
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    NPI Number           |    1801562574
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINA SAMBORSKY DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/21/2021
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    Last Update Date     |    08/21/2021
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Provider Practice Location Address
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    Address Line         |    127 E MAIN ST 
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    City                 |    SMITHTOWN
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    State                |    NY
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    Zip                  |    11787-2840
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    Country              |    US
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    Telephone            |    631-880-7577
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    38 LAHEY ST 
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    City                 |    NEW HYDE PARK
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    State                |    NY
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    Zip                  |    11040-1717
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    Country              |    US
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    Telephone            |    516-424-3238
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    047139
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    License Number State |    NY
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