Individual
MRS. SUMEDHA M KHADILKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
95 JOHN MUIR DR, BUFFALO, NY 14228-1144
(716) 250-4137
Mailing address
95 JOHN MUIR DR, BUFFALO, NY 14228-1144
(716) 250-4137
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010860
NY
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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