MEDICARE: SAI CHANDANA PUSULURI

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	055362	NY

General Provider Information

NPI Number	:	1215894381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAI CHANDANA PUSULURI

Provider Business Mailing Address
First Line	:	303 BROOK AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10454-2508
Country	:	US
Telephone Number	:	347-590-6565
Fax Number	:	347-590-6564

Provider Business Practice Location Address
First Line	:	303 BROOK AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10454-2508
Country	:	US
Telephone Number	:	347-590-6565
Fax Number	:	347-590-6564

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

Provider Enumeration Date	:	01/08/2026
Last Update Date	:	01/08/2026

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Directions to “ SAI CHANDANA PUSULURI ” Practice Location

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