Provider Demographics
NPI:1316928831
Name:CAMPILII, CHRISTIAN DAVID (PT)
Entity type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:DAVID
Last Name:CAMPILII
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:C/O CENTER FOR PHYSICAL THERAPY
Mailing Address - Street 2:2 DELAVERGNE AVE.
Mailing Address - City:WAPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-1202
Mailing Address - Country:US
Mailing Address - Phone:845-297-4789
Mailing Address - Fax:845-297-8596
Practice Address - Street 1:C/O CENTER FOR PHYSICAL THERAPY
Practice Address - Street 2:2 DELAVERGNE AVE.
Practice Address - City:WAPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-1202
Practice Address - Country:US
Practice Address - Phone:845-297-4789
Practice Address - Fax:845-297-8596
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY011717225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
5162115OtherCCN
10067352OtherCDPHP
7948448OtherAETNA PPO
802730OtherMANAGED PHYSICAL NETWORK
2299873OtherUNITED HEALTH CARE
3095123OtherAETNA HMO
83394OtherOPERATING ENGNRS LOCL 825
437213OtherMVP
DUS061OtherOXFORD
NYQ83731OtherBLUE CROSS BLUE SHIELD
5162115OtherCCN