OrganizationActive
Artisan Sports Medicine PC
NPI 1396868402 · Interventional Pain Medicine Physician · New York, NY
Provider details
- NPI number
- 1396868402
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristina Didonato, Practice Manager(845) 996-8171
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
888 Park Ave Ofc 1d
New York, NY 10075-0282
Phone: (888) 577-7263
Fax: (718) 362-1651
Approximate (ZIP-level) locationGet directions
Mailing address
612 Corporate Way Ste 2m
Valley Cottage, NY 10989-2027
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2026-06-02
- Certified
- 2026-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.