Provider Demographics
NPI:1528124450
Name:LAUKE, CHRISTINE (MSPT, CSCS)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:
Last Name:LAUKE
Suffix:
Gender:F
Credentials:MSPT, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1065 OLD COUNTRY ROAD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590
Mailing Address - Country:US
Mailing Address - Phone:516-334-7000
Mailing Address - Fax:516-334-7082
Practice Address - Street 1:1065 OLD COUNTRY ROAD
Practice Address - Street 2:SUITE 214
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590
Practice Address - Country:US
Practice Address - Phone:516-334-7000
Practice Address - Fax:516-334-7082
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020737225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist