MEDICARE: PADMA R PARTHASARATHY PT

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	021750	NY

General Provider Information

NPI Number	:	1114085933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PADMA R PARTHASARATHY PT

Provider Business Mailing Address
First Line	:	202 BEVERLY RD
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-3710
Country	:	US
Telephone Number	:	914-831-3768
Fax Number	:

Provider Business Practice Location Address
First Line	:	244 WESTCHESTER AVE STE 217
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10604-2922
Country	:	US
Telephone Number	:	914-328-6016
Fax Number	:

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

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	07/08/2007

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