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NPI Code Detail

MEDICARE: CHANDRASHEKHAR ARDESANA PT

MEDICARE:   CHANDRASHEKHAR  ARDESANA  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 Therapist035112-1NY

General Provider Information

NPI Number : 1811230154
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANDRASHEKHAR ARDESANA PT
Provider Business Mailing 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 :
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 : 845-414-9128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2013
Last Update Date : 10/30/2021

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Directions to “ CHANDRASHEKHAR ARDESANA PT” Practice Location

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