Provider Demographics
NPI:1356594311
Name:MAJDANSKI, CARISSA VARBARO (MS, PT)
Entity type:Individual
Prefix:
First Name:CARISSA
Middle Name:VARBARO
Last Name:MAJDANSKI
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:27 TRAVERSE RD
Mailing Address - Street 2:
Mailing Address - City:LAKE PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10537-1408
Mailing Address - Country:US
Mailing Address - Phone:914-597-4007
Mailing Address - Fax:
Practice Address - Street 1:80 ROUTE 6 UNIT 701702
Practice Address - Street 2:
Practice Address - City:BALDWIN PLACE
Practice Address - State:NY
Practice Address - Zip Code:10505-1026
Practice Address - Country:US
Practice Address - Phone:845-875-0500
Practice Address - Fax:845-228-8591
Is Sole Proprietor?:No
Enumeration Date:2008-11-03
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY024607225100000X
NY024607-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY024607-1OtherNEW YORK STATE LICENSED PHYSICAL THERAPIST