Active NPI
Donna Elise Sandomir, P.T.
- Contractor
- Garden City, NY
National Provider Identifier
1154630671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 009634-1
- Practice address
- 56 Cathedral Ave
Garden City, NY 11530-2819 - Phone
- (516) 294-3000
- NPI assigned
- Sep 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 009634-1 | NY | Primary |
Addresses
Primary practice location
56 Cathedral Ave
Garden City, NY 11530-2819
Mailing address
2663 Boundary LN
Bellmore, NY 11710-4722
Phone (516) 826-0386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009634-1 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1154630671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2663 BOUNDARY LN",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117104722",
"telephone_number": "516-826-0386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 CATHEDRAL AVE",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115302819",
"telephone_number": "516-294-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOMIR",
"first_name": "DONNA",
"middle_name": "ELISE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-30",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NY",
"license": "009634-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.