Basic Information
| Provider Information | |||||||||
| NPI: | 1174067391 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SARDINI | ||||||||
| FirstName: | ARTHUR | ||||||||
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| NameSuffix: | IV | ||||||||
| Credential: | ATC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 84 PINE ST | ||||||||
| Address2: | APT 1R | ||||||||
| City: | MONTCLAIR | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070424841 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8147461899 | ||||||||
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| Practice Location | |||||||||
| Address1: | 225 BROADWAY | ||||||||
| Address2: | SUIT 2120 | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100073001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2127322100 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/07/2016 | ||||||||
| LastUpdateDate: | 12/07/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2255A2300X | 002832 | NY | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | Athletic Trainer |
No ID Information.