Provider Demographics
NPI:1639455009
Name:SISTI, CHRISTENE (PT)
Entity Type:Individual
Prefix:
First Name:CHRISTENE
Middle Name:
Last Name:SISTI
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 1:195 BENNETT AVE
Mailing Address - Street 2:APT. 3J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-4003
Mailing Address - Country:US
Mailing Address - Phone:917-710-2922
Mailing Address - Fax:
Practice Address - Street 1:315 HIGHWAY 35
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-5913
Practice Address - Country:US
Practice Address - Phone:732-224-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist