MEDICARE: RONIT SANDOWSKI PHYSICAL THERAPIST

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	2251P0200X	Pediatric Physical Therapist	012489-1	NY

General Provider Information

NPI Number	:	1548495120
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONIT SANDOWSKI PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	7925 153RD ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-3937
Country	:	US
Telephone Number	:	718-473-3979
Fax Number	:

Provider Business Practice Location Address
First Line	:	7925 153RD ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-3937
Country	:	US
Telephone Number	:	718-473-3979
Fax Number	:

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

Provider Enumeration Date	:	05/26/2009
Last Update Date	:	05/26/2009

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Directions to “ RONIT SANDOWSKI PHYSICAL THERAPIST” Practice Location

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