Individual
KANDRAP YASHVANT SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
36 ONTARIO AVE, PLAINVIEW, NY 11803-3534
(516) 343-7577
Mailing address
36 ONTARIO AVE, PLAINVIEW, NY 11803-3534
(516) 343-7577
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008497
NY
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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