Individual
ANANDASELVI KANDAVADIVELU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 E MAPLE ST, VALLEY STREAM, NY 11580-4621
(516) 406-9907
(516) 515-9515
Mailing address
110 E MAPLE ST, VALLEY STREAM, NY 11580-4621
(516) 406-9907
(516) 515-9515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
042567
NY
Other
Enumeration date
04/09/2021
Last updated
04/09/2021
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