MEDICARE: MISS PAULOMI HARDIK DESAI PT,DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	030604	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	030604	OTHER	NY	NEW YORK STATE LICENSE

General Provider Information

NPI Number	:	1003067794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS PAULOMI HARDIK DESAI PT,DPT

Provider Business Mailing Address
First Line	:	2 LYNN CT
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-2700
Country	:	US
Telephone Number	:	732-325-9005
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 ROUTE 33
Second Line	:
City	:	MILLSTONE TOWNSHIP
State	:	NJ
Zip	:	08535-8103
Country	:	US
Telephone Number	:	212-370-5551
Fax Number	:	212-370-5559

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2008
Last Update Date	:	02/16/2016

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