MEDICARE: NANCY HEMWANI

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	225200000X	Physical Therapy Assistant	015242	NY

General Provider Information

NPI Number	:	1376471623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY HEMWANI

Provider Business Mailing Address
First Line	:	475 NORTHERN BLVD STE 37
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-4802
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	475 NORTHERN BLVD STE 11
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11021-4802
Country	:	US
Telephone Number	:	516-829-0030
Fax Number	:	516-466-7723

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

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

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Directions to “ NANCY HEMWANI ” Practice Location

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