Provider Demographics
NPI:1306934799
Name:SARFATY, BETH ROBIN (PT)
Entity type:Individual
Prefix:MS
First Name:BETH
Middle Name:ROBIN
Last Name:SARFATY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 WALL ST
Mailing Address - Street 2:
Mailing Address - City:WEST LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764-1846
Mailing Address - Country:US
Mailing Address - Phone:732-229-4481
Mailing Address - Fax:201-531-2514
Practice Address - Street 1:1050 WALL ST W
Practice Address - Street 2:SUITE 200
Practice Address - City:LYNDHURST
Practice Address - State:NJ
Practice Address - Zip Code:07071-3621
Practice Address - Country:US
Practice Address - Phone:201-531-2524
Practice Address - Fax:201-531-2514
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00481600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist