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NPI Code Detail

MEDICARE: KHYATI VIJAY BHAYANI PT

MEDICARE: KHYATI VIJAY BHAYANI PT
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 Therapist039633NY
2225100000XPhysical Therapist40QA01836900NJ

General Provider Information

NPI Number : 1407385081
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHYATI VIJAY BHAYANI PT
Provider Business Mailing Address
First Line : 3244 31ST ST
Second Line :
City : ASTORIA
State : NY
Zip : 11106-2561
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3244 31ST ST
Second Line :
City : ASTORIA
State : NY
Zip : 11106-2561
Country : US
Telephone Number : 718-626-2699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2017
Last Update Date : 02/08/2021

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Directions to “ KHYATI VIJAY BHAYANI PT” Practice Location

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