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NPI Code Detail

MEDICARE: SEJAL MAIR PT

MEDICARE: SEJAL MAIR 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 Therapist029718NY

General Provider Information

NPI Number : 1518297407
Entity Type Code : Individual
Provider Name (Legal Business Name) : SEJAL MAIR PT
Provider Business Mailing Address
First Line : 800 AXINN AVE
Second Line :
City : GARDEN CITY
State : NY
Zip : 11530-2139
Country : US
Telephone Number : 646-680-2888
Fax Number : 516-542-5556
Provider Business Practice Location Address
First Line : 3245 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3716
Country : US
Telephone Number : 718-615-3777
Fax Number : 718-615-3717
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2009
Last Update Date : 05/11/2015

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Directions to “ SEJAL MAIR PT” Practice Location

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