Healthcare Provider Details
I. General information
NPI: 1821769951
Provider Name (Legal Business Name): REENA PATEL-SOLANKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/28/2021
Last Update Date: 09/28/2021
Certification Date: 09/28/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
100 MAPLE AVE
WHITE PLAINS NY
10601-5105
US
IV. Provider business mailing address
1810 COLONIAL GARDENS DR
AVENEL NJ
07001-1611
US
V. Phone/Fax
- Phone: 914-825-6143
- Fax:
- Phone: 201-539-1397
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2251G0304X |
| Taxonomy | Geriatric Physical Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: