Healthcare Provider Details

I. General information

NPI: 1235067240
Provider Name (Legal Business Name): ABHIPSA A PANDYA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

873 N MAIN ST STE 102
SPRING VALLEY NY
10977-1905
US

IV. Provider business mailing address

873 N MAIN ST STE 102
SPRING VALLEY NY
10977-1905
US

V. Phone/Fax

Practice location:
  • Phone: 845-414-9115
  • Fax: 845-414-9128
Mailing address:
  • Phone: 845-414-9115
  • Fax: 845-414-9128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number051425
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: