Provider Demographics
NPI:1962700849
Name:ALIBERTI, CHRISTINE ANTOINETTE (OTR/L)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:ANTOINETTE
Last Name:ALIBERTI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3343 CRESCENT ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-3857
Mailing Address - Country:US
Mailing Address - Phone:718-932-8432
Mailing Address - Fax:
Practice Address - Street 1:333 E 4TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-6912
Practice Address - Country:US
Practice Address - Phone:212-228-8730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016155-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist