Individual
ANAND R VYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
138-76 QUEENS BLVD 1ST FLOOR, BRIARWOOD, NY 11435-2930
(718) 850-6345
(718) 559-4895
Mailing address
13876 QUEENS BLVD FL 1, BRIARWOOD, NY 11435-2930
(718) 850-6345
(718) 559-4895
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
P77489
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261665877
PHYSICAL THERAPY
NY
Enumeration date
09/02/2010
Last updated
09/02/2010
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