Provider Demographics
NPI:1326270695
Name:SANDOW, EMILY (DPT)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:SANDOW
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 2ND AVE STE 2G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-4803
Mailing Address - Country:US
Mailing Address - Phone:212-598-6054
Mailing Address - Fax:
Practice Address - Street 1:130 W 56TH ST
Practice Address - Street 2:SUITE 6M
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3866
Practice Address - Country:US
Practice Address - Phone:917-549-4161
Practice Address - Fax:212-246-3701
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024657225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist