MEDICARE: AASTHA POUDEL

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	054265	NY

General Provider Information

NPI Number	:	1346195807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AASTHA POUDEL

Provider Business Mailing Address
First Line	:	33 LEWIS RD # 13905P
Second Line	:
City	:	BINGHAMTON
State	:	NY
Zip	:	13905-1048
Country	:	US
Telephone Number	:	607-770-0025
Fax Number	:

Provider Business Practice Location Address
First Line	:	4433 VESTAL PKWY
Second Line	:
City	:	VESTAL
State	:	NY
Zip	:	13850-3556
Country	:	US
Telephone Number	:	607-762-2176
Fax Number	:

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

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “ AASTHA POUDEL ” Practice Location

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