MEDICARE: JAYANT BHATT

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	034938	NY

General Provider Information

NPI Number	:	1467879742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYANT BHATT

Provider Business Mailing Address
First Line	:	155 WASHINGTON ST
Second Line	:	APT 612
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-4572
Country	:	US
Telephone Number	:	201-650-1446
Fax Number	:

Provider Business Practice Location Address
First Line	:	155 WASHINGTON ST
Second Line	:	APT 612
City	:	JERSEY CITY
State	:	NJ
Zip	:	07302-4572
Country	:	US
Telephone Number	:	201-650-1446
Fax Number	:

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

Provider Enumeration Date	:	03/25/2014
Last Update Date	:	03/25/2014

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Directions to “ JAYANT BHATT ” Practice Location

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