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NPI Code Detail

MEDICARE: KHUSHBU VASANI

MEDICARE: KHUSHBU VASANI
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
1225100000XPhysical Therapist040861NY

General Provider Information

NPI Number : 1336789858
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHUSHBU VASANI
Provider Business Mailing Address
First Line : 615 PAVONIA AVE APT 4008
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-2961
Country : US
Telephone Number : 201-606-3366
Fax Number :
Provider Business Practice Location Address
First Line : 5822 BROADWAY
Second Line :
City : BRONX
State : NY
Zip : 10463-2454
Country : US
Telephone Number : 718-549-3185
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2020
Last Update Date : 01/13/2020

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Directions to “ KHUSHBU VASANI ” Practice Location

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