MEDICARE: MRS. KINNARY JAY ZAVERI PHYSICAL THERAPIST

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	031156	NY

General Provider Information

NPI Number	:	1366742082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KINNARY JAY ZAVERI PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	787 SUMMIT AVE
Second Line	:	APT 11
City	:	JERSEY CITY
State	:	NJ
Zip	:	07307-3832
Country	:	US
Telephone Number	:	201-253-8919
Fax Number	:

Provider Business Practice Location Address
First Line	:	1461 BATH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11228-3818
Country	:	US
Telephone Number	:	718-621-0777
Fax Number	:

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

Provider Enumeration Date	:	10/28/2010
Last Update Date	:	10/28/2010

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