Individual
POOJA DHARMESH VYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
22 MIDDLETON ST, BROOKLYN, NY 11206-5415
(718) 303-9400
Mailing address
27 ALAN TER, JERSEY CITY, NJ 07306-1403
(516) 838-9760
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
042099
NY
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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