Provider Demographics
NPI:1669615746
Name:LANNI, CHRISTOPHER DAVID (PT, MPA)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:DAVID
Last Name:LANNI
Suffix:
Gender:M
Credentials:PT, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 DIVISION ST
Mailing Address - Street 2:#2
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-6103
Mailing Address - Country:US
Mailing Address - Phone:212-608-0774
Mailing Address - Fax:
Practice Address - Street 1:115 DIVISION ST
Practice Address - Street 2:#2
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-6103
Practice Address - Country:US
Practice Address - Phone:212-608-0774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019355-12251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics