Individual
SHALITA POONAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11517 116TH ST, SOUTH OZONE PARK, NY 11420-2305
(347) 605-0419
Mailing address
11517 116TH ST, SOUTH OZONE PARK, NY 11420-2305
(347) 605-0419
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012327-01
NY
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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