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Organization
SOUTHAMPTON HOSPITAL/SPORTS REHAB WH
Active
Organization
SOUTHAMPTON HOSPITAL/SPORTS REHAB WH
Active
Other names
SPORTS REHAB WH
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE SMITH-BARTON P.T. (PHYSICAL THERAPIST/SITE LEADER)
(631) 288-7767
Entity
Organization
Contact information
Practice address
74 OLD RIVERHEAD RD, WESTHAMPTON BEACH, NY 11978
(631) 288-7767
(631) 288-7100
Mailing address
74 OLD RIVERHEAD RD, WESTHAMPTON BEACH, NY 11978-1401
(631) 288-7767
(631) 288-7100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004540-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00274406
—
NY
01
—
015752-A64
HEALTHFIRST-E.S.,P.T.
NY
01
—
018611
HIP-TONI WORMOLD, P.T.
NY
01
—
022570
HIP-PETER FISCINA, P.T.
NY
01
—
2365871
AETNA
NY
01
—
32803
US FAMILY HEALTH-SPORTS
NY
01
—
58418
VYTRA
NY
01
—
6698016
GHI-TONI L. WORMOLD,P.T.
NY
01
—
6698017
GHI-CHRISTINE SMITHBARTON
NY
01
—
6698018
GHI-STEVE ZACHARSKI
NY
01
—
6698019
GHI-EILEEN SOLJANICH,P.T.
NY
01
—
6698021
GHI-PETER M. FISCINA, P.T
NY
01
—
AZ00175
MDNY-
NY
01
—
QH5051
BC-BS-EILEEN SOLJANICH,PT
NY
01
—
QH5061
BCBS CHRISTINESMITHBARTON
NY
01
—
QH5392
BCBS-TONI WORMOLD,P.T.
NY
01
—
QN0681
BCBS-PETER FISCINA,P.T.
NY
Enumeration date
10/20/2006
Last updated
04/20/2008
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