Organization
ARTISAN SPORTS MEDICINE PC
Active
Organization
ARTISAN SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINA DIDONATO (PRACTICE MANAGER)
(845) 996-8171
Entity
Organization
Contact information
Practice address
888 PARK AVE OFC 1D, NEW YORK, NY 10075-0282
(888) 577-7263
(718) 362-1651
Mailing address
612 CORPORATE WAY STE 2M, VALLEY COTTAGE, NY 10989-2027
(845) 996-8171
(718) 362-1651
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
04/06/2007
Last updated
06/02/2026
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