Provider Demographics
NPI:1083858187
Name:SANDLER, SVETLANA (PT)
Entity Type:Individual
Prefix:MRS
First Name:SVETLANA
Middle Name:
Last Name:SANDLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 PLATTSBURG ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-3966
Mailing Address - Country:US
Mailing Address - Phone:718-930-4428
Mailing Address - Fax:718-524-5981
Practice Address - Street 1:51 PLATTSBURG ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10304-3966
Practice Address - Country:US
Practice Address - Phone:718-930-4428
Practice Address - Fax:718-524-5981
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY025685-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist