Provider Demographics
NPI:1447581723
Name:CHRISTOPHER HORSFORD PT PC
Entity Type:Organization
Organization Name:CHRISTOPHER HORSFORD PT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER HORSFORD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HORSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:631-395-9090
Mailing Address - Street 1:2 CORACI BLVD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SHIRLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11967-4833
Mailing Address - Country:US
Mailing Address - Phone:631-395-9090
Mailing Address - Fax:631-395-9100
Practice Address - Street 1:2 CORACI BLVD
Practice Address - Street 2:SUITE 2
Practice Address - City:SHIRLEY
Practice Address - State:NY
Practice Address - Zip Code:11967-4833
Practice Address - Country:US
Practice Address - Phone:631-395-9090
Practice Address - Fax:631-395-9100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-26
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027763225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty