MEDICARE: RICHA S RANA

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
1	225200000X	Physical Therapy Assistant	013299	NY

General Provider Information

NPI Number	:	1679295604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHA S RANA

Provider Business Mailing Address
First Line	:	70 STARMOND AVE
Second Line	:
City	:	CLIFTON
State	:	NJ
Zip	:	07013-2636
Country	:	US
Telephone Number	:	973-981-3010
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 N MADISON AVE
Second Line	:
City	:	SPRING VALLEY
State	:	NY
Zip	:	10977-4811
Country	:	US
Telephone Number	:	845-414-9115
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2022
Last Update Date	:	09/15/2022

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Directions to “ RICHA S RANA ” Practice Location

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