MEDICARE: SAMRITI MALHOTRA

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	053393	NY

General Provider Information

NPI Number	:	1578388575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMRITI MALHOTRA

Provider Business Mailing Address
First Line	:	31 E 32ND ST FL 4
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-5595
Country	:	US
Telephone Number	:	212-759-2282
Fax Number	:	212-379-2123

Provider Business Practice Location Address
First Line	:	2273 BROADWAY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10024-5413
Country	:	US
Telephone Number	:	212-759-2282
Fax Number	:	212-379-2123

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

Provider Enumeration Date	:	11/15/2024
Last Update Date	:	01/30/2025

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Directions to “ SAMRITI MALHOTRA ” Practice Location

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