Individual
NIRAJ TANKARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2829 OCEAN PKWY, BROOKLYN, NY 11235-7869
(347) 673-6694
Mailing address
NIRAJTANKARIA89@GMAIL.COM, 47 COTTAGE STREET, JERSEY CITY, NJ 07306
(551) 998-6451
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
042653-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042653-1
LICENSE NUMBER
NY
Enumeration date
07/23/2018
Last updated
07/23/2018
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