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NPI Code Detail

MEDICARE: ISHITA VIJAY KAMAT

MEDICARE: ISHITA VIJAY KAMAT
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 Therapist04992101NY

General Provider Information

NPI Number : 1265296800
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISHITA VIJAY KAMAT
Provider Business Mailing Address
First Line : 1003 36TH AVE
Second Line :
City : ASTORIA
State : NY
Zip : 11106-5021
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1441 SOUTH AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10314-3779
Country : US
Telephone Number : 516-614-5650
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2024
Last Update Date : 02/13/2024

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Directions to “ ISHITA VIJAY KAMAT ” Practice Location

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