MEDICARE: SONIA CHHABRA PHYSICAL THERAPY P.C

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	261QP2000X	Physical Therapy Clinic/Center	020460	NY

General Provider Information

NPI Number	:	1619208402
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SONIA CHHABRA PHYSICAL THERAPY P.C

Provider Business Mailing Address
First Line	:	1175 YORK AVE
Second Line	:	SUITE 4B
City	:	NEW YORK
State	:	NY
Zip	:	10065-7169
Country	:	US
Telephone Number	:	646-485-8801
Fax Number	:	866-614-8293

Provider Business Practice Location Address
First Line	:	201 E 67TH ST
Second Line	:	3RD FLR.
City	:	NEW YORK
State	:	NY
Zip	:	10065-6064
Country	:	US
Telephone Number	:	646-485-8801
Fax Number	:	866-614-8293

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPY
Name	:	MISS SONIA CHHABRA
Credential	:	M.S.P.T
Telephone Number	:	917-601-6056

Provider Enumeration Date	:	01/19/2010
Last Update Date	:	01/19/2010

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