National Provider Identifier

Christopher Malvica, PTA, DPT

Christopher Malvica, PTA, DPT is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician in Horseheads, NY and a listed phone number of (607) 737-7804.

NPI 1194442988Horseheads, NYPhysical Medicine & Rehabilitation Physician

Profile Overview

NPI
1194442988
Provider Type
Individual
Primary Specialty
Physical Medicine & Rehabilitation Physician
Enumeration Date
October 24, 2022
Last Updated
October 24, 2022

Practice Location

  • 100 John Roemmelt Dr
  • Horseheads, NY 14845-8301

Phone: (607) 737-7804

Specialties

  • Physical Medicine & Rehabilitation Physician (208100000X)
  • Physical Medicine & Rehabilitation Physician (208100000X)
Full Record
NPI
1194442988
Entity Type
Individual
Last Name
Malvica
First Name
Christopher
Name Prefix
Dr.
Credential
PTA, DPT
Mailing Street Address
100 John Roemmelt Dr
Mailing City
Horseheads
Mailing State
NY
Mailing ZIP Code
14845-8301
Mailing Country
US
Practice Street Address
100 John Roemmelt Dr
Practice City
Horseheads
Practice State
NY
Practice ZIP Code
14845-8301
Practice Country
US
Practice Phone
(607) 737-7804
Enumeration Date
October 24, 2022
Last Updated
October 24, 2022
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
Taxonomy Group 2
193200000X Multi-Specialty Group
Certification Date
October 24, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Medicine & Rehabilitation Physician (208100000X), Physical Medicine & Rehabilitation Physician (208100000X)