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NPI Code Detail

MEDICARE: ADITYA PINANG DOCTOR

MEDICARE: ADITYA PINANG DOCTOR
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
1225100000XPhysical Therapist054232NY

General Provider Information

NPI Number : 1235072315
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADITYA PINANG DOCTOR
Provider Business Mailing Address
First Line : 111 COLLARD ST APT 1L
Second Line :
City : JERSEY CITY
State : NJ
Zip : 07306-3550
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 35 ROOSEVELT AVE
Second Line :
City : SYOSSET
State : NY
Zip : 11791-3061
Country : US
Telephone Number : 518-229-2045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ ADITYA PINANG DOCTOR ” Practice Location

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