MEDICARE: JASVIR BHARDWAJ

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	225X00000X	Occupational Therapist	003495	NY

General Provider Information

NPI Number	:	1326287517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASVIR BHARDWAJ

Provider Business Mailing Address
First Line	:	72 CHERRYWOOD DR
Second Line	:
City	:	MANHASSET HILLS
State	:	NY
Zip	:	11040-2210
Country	:	US
Telephone Number	:	917-687-8315
Fax Number	:

Provider Business Practice Location Address
First Line	:	72 CHERRYWOOD DR
Second Line	:
City	:	MANHASSET HILLS
State	:	NY
Zip	:	11040-2210
Country	:	US
Telephone Number	:	917-687-8315
Fax Number	:

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

Provider Enumeration Date	:	02/11/2009
Last Update Date	:	02/11/2009

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