Individual
SHYAM KUNADIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 LIVINGSTON ST, NORTHVALE, NJ 07647-1738
(201) 564-7515
Mailing address
11 REIHL ST, ELMWOOD PARK, NJ 07407-2529
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/14/2024
Last updated
12/14/2024
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