Healthcare Provider Details

I. General information

NPI: 1538034046
Provider Name (Legal Business Name): HIRAL VACHHANI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 ACRE LN
HICKSVILLE NY
11801-4426
US

IV. Provider business mailing address

50 ACRE LN
HICKSVILLE NY
11801-4426
US

V. Phone/Fax

Practice location:
  • Phone: 516-817-2312
  • Fax:
Mailing address:
  • Phone: 516-817-2312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number346241-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: