MEDICARE: DR. CHRISTINE FRANCES BURACZEWSKI DPT

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	225100000X	Physical Therapist	024706	NY

General Provider Information

NPI Number	:	1881862092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE FRANCES BURACZEWSKI DPT

Provider Business Mailing Address
First Line	:	401 BIRCHWOOD RD
Second Line	:
City	:	MEDFORD
State	:	NY
Zip	:	11763-1232
Country	:	US
Telephone Number	:	631-645-1800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 NESCONSET HWY
Second Line	:	BUILDING 22B
City	:	STONY BROOK
State	:	NY
Zip	:	11790-2555
Country	:	US
Telephone Number	:	631-751-7988
Fax Number	:

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

Provider Enumeration Date	:	02/11/2008
Last Update Date	:	05/11/2026

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