Provider Demographics
NPI:1942350194
Name:OSTLING, CHRISTOPHER MARSHALL (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MARSHALL
Last Name:OSTLING
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 LUCILLE AVE
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-3414
Mailing Address - Country:US
Mailing Address - Phone:516-233-1604
Mailing Address - Fax:
Practice Address - Street 1:131 W OLD COUNTRY RD
Practice Address - Street 2:STE B
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-4007
Practice Address - Country:US
Practice Address - Phone:516-681-8070
Practice Address - Fax:516-681-3423
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023795225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQN4101Medicare PIN