Individual ProviderChristopher CodonerPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address28 Victoria Rd, Staten Island, NY 10312-1816(917) 991-3590PECOS EnrollmentBased on the most recent information from CMS, provider Christopher Codoner does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1487861910Provider TypeIndividualFull NameCodoner, ChristopherCredentialP.T.GenderMaleSole ProprietorNoEnumeration Date5/16/2007Last Updated1/14/2010Contact InformationPractice LocationPractice Address28 Victoria Rd, Staten Island, NY 10312-1816Phone(917) 991-3590FaxUnlisted FaxMailing LocationMailing Address28 Victoria Rd, Staten Island, NY 10312-1816Phone(917) 991-3590FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense013746New York