Healthcare Provider Details

I. General information

NPI: 1326896499
Provider Name (Legal Business Name): ANJALI NAGAR PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

146 EMPIRE BLVD
BROOKLYN NY
11225
US

IV. Provider business mailing address

8845 19TH AVENUE
BROOKLYN NY
11214
US

V. Phone/Fax

Practice location:
  • Phone: 917-662-5776
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number048776
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: