Healthcare Provider Details

I. General information

NPI: 1548193790
Provider Name (Legal Business Name): POOJA RAJESH BHINDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 CONNECTICUT AVE
NORWALK CT
06854-1824
US

IV. Provider business mailing address

18902 64TH AVE APT 12F
FRESH MEADOWS NY
11365-3835
US

V. Phone/Fax

Practice location:
  • Phone: 203-883-5069
  • Fax:
Mailing address:
  • Phone: 929-527-7117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: