Individual
NAMITA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8003 211TH ST, JAMAICA, NY 11427-1012
(646) 998-8128
Mailing address
8003 211TH ST, JAMAICA, NY 11427-1012
(646) 998-8128
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
62 036358
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45-3746636
—
NY
Enumeration date
06/17/2013
Last updated
04/29/2014
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