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NPI Code Detail

MEDICARE: AKRITI YADAV MPT

MEDICARE:   AKRITI  YADAV  MPT
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
12251X0800XOrthopedic Physical Therapist040706NY

General Provider Information

NPI Number : 1619412517
Entity Type Code : Individual
Provider Name (Legal Business Name) : AKRITI YADAV MPT
Provider Business Mailing Address
First Line : 456 WHITE RD
Second Line :
City : MINEOLA
State : NY
Zip : 11501-1022
Country : US
Telephone Number : 516-853-9599
Fax Number :
Provider Business Practice Location Address
First Line : 1605 HILLSIDE AVE
Second Line :
City : NEW HYDE PARK
State : NY
Zip : 11040-2603
Country : US
Telephone Number : 516-616-0942
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2016
Last Update Date : 12/31/2016

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