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Individual

AADITYA VAIDYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10509 JAMAICA AVE, RICHMOND HILL, NY 11418-2014
(718) 441-3211
(718) 441-3744
Mailing address
11575 PEARLAND PKWY APT 3301, HOUSTON, TX 77089-2647
(408) 444-3080

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
038803-1
NY
225100000X
Physical Therapist
Primary
1296743
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
038803-1
LICENSE NUMBER
NY
01
1296743
LICENSE NUMBER
TX
Enumeration date
06/08/2015
Last updated
12/08/2019
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