Individual
NIDHIBEN TADVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
492 LEFFERTS AVE, BROOKLYN, NY 11225-4781
(718) 774-6144
Mailing address
492 LEFFERTS AVE, BROOKLYN, NY 11225-4781
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
048802
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048802
LICENSE
NY
Enumeration date
06/16/2022
Last updated
06/16/2022
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