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NPI Code Detail

MEDICARE: JANHVI REVANAND ANDHALE PTA,MS

MEDICARE:   JANHVI REVANAND  ANDHALE  PTA,MS
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
1225200000XPhysical Therapy Assistant014464NY

General Provider Information

NPI Number : 1962180851
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANHVI REVANAND ANDHALE PTA,MS
Provider Business Mailing Address
First Line : 50 NEPPERHAN ST
Second Line :
City : YONKERS
State : NY
Zip : 10701-3800
Country : US
Telephone Number : 217-200-1666
Fax Number :
Provider Business Practice Location Address
First Line : 2735 HENRY HUDSON PKWY STE 103
Second Line :
City : BRONX
State : NY
Zip : 10463-4701
Country : US
Telephone Number : 718-884-0444
Fax Number : 718-549-0415
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2023
Last Update Date : 06/03/2026

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Directions to “ JANHVI REVANAND ANDHALE PTA,MS” Practice Location

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