Provider Demographics
NPI:1265400808
Name:BLUMENTHAL, SHARON ZANGER (PT)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:ZANGER
Last Name:BLUMENTHAL
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 1:8103 SURREY PL
Mailing Address - Street 2:
Mailing Address - City:JAMAICA EST
Mailing Address - State:NY
Mailing Address - Zip Code:11432-1434
Mailing Address - Country:US
Mailing Address - Phone:718-380-6325
Mailing Address - Fax:718-264-7922
Practice Address - Street 1:8103 SURREY PL
Practice Address - Street 2:
Practice Address - City:JAMAICA EST
Practice Address - State:NY
Practice Address - Zip Code:11432-1434
Practice Address - Country:US
Practice Address - Phone:718-380-6325
Practice Address - Fax:718-264-7922
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7380-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist