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NPI Code Detail

MEDICARE: POOJA KADLE P.T.

MEDICARE: POOJA KADLE P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist036753NY

General Provider Information

NPI Number : 1003231960
Entity Type Code : Individual
Provider Name (Legal Business Name) : POOJA KADLE P.T.
Provider Business Mailing Address
First Line : 675 3RD AVE FL 5
Second Line :
City : NEW YORK
State : NY
Zip : 10017-5731
Country : US
Telephone Number : 317-701-6235
Fax Number :
Provider Business Practice Location Address
First Line : 675 3RD AVE FL 5
Second Line :
City : NEW YORK
State : NY
Zip : 10017-5731
Country : US
Telephone Number : 317-701-6235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2014
Last Update Date : 02/28/2014

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Directions to “ POOJA KADLE P.T.” Practice Location

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