Provider Demographics
NPI:1598109688
Name:SAPIENZA, KRISTIN LYNN (PT)
Entity Type:Individual
Prefix:MISS
First Name:KRISTIN
Middle Name:LYNN
Last Name:SAPIENZA
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 1:286 MADISON AVE
Mailing Address - Street 2:STE 1601
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6374
Mailing Address - Country:US
Mailing Address - Phone:631-741-3369
Mailing Address - Fax:
Practice Address - Street 1:240 WEST 73RD STREET
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:212-362-4742
Practice Address - Fax:212-787-5275
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-19
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035812225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist