Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Artisan Sports Medicine PC

Organization Interventional Pain Medicine Physician · NPI 1396868402

Artisan Sports Medicine PC is an Interventional Pain Medicine Physician in New York, New York. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

888 Park Ave Ofc 1D
New York, NY 10075-0282
Phone: (888) 577-7263
Fax: (718) 362-1651
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1396868402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kristina Didonato — Practice Manager · (845) 996-8171
NPI enumeratedApril 6, 2007
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address612 Corporate Way Ste 2m, Valley Cottage, NY 10989-2027

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