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NPI Code Detail

MEDICARE: MS. PUJA PADBIDRI

MEDICARE: MS. PUJA PADBIDRI
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
12251P0200XPediatric Physical Therapist027906NY

General Provider Information

NPI Number : 1629223698
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PUJA PADBIDRI
Provider Business Mailing Address
First Line : 17 RANDALL AVE
Second Line : # B
City : STAMFORD
State : CT
Zip : 06905-4226
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 20 CEDAR ST
Second Line : SUITE 302
City : NEW ROCHELLE
State : NY
Zip : 10801-5247
Country : US
Telephone Number : 914-576-5292
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2008
Last Update Date : 11/18/2008

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Directions to “ MS. PUJA PADBIDRI ” Practice Location

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