Individual
RUTUJA RAMESH MAHALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
309 NORTHWEST DR, FARMINGDALE, NY 11735-4935
(516) 420-2900
(516) 420-2908
Mailing address
475 NORTHERN BLVD STE 27, GREAT NECK, NY 11021-4802
(516) 829-0030
(516) 466-7723
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012713
NY
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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