Healthcare Provider Details

I. General information

NPI: 1104745157
Provider Name (Legal Business Name): VEDA PHYSICAL THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 47TH RD
LONG ISLAND CITY NY
11101-5511
US

IV. Provider business mailing address

521 47TH RD
LONG ISLAND CITY NY
11101-5511
US

V. Phone/Fax

Practice location:
  • Phone: 718-784-3483
  • Fax:
Mailing address:
  • Phone: 718-784-3483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. SHERAZ SYED
Title or Position: OWNER
Credential: P.T.
Phone: 718-784-3483