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Individual

BHAVESHKUMAR B AHIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
19617 HILLSIDE AVE, HOLLIS, NY 11423-2157
(718) 479-3900
(718) 479-1014
Mailing address
19617 HILLSIDE AVE, HOLLIS, NY 11423-2157
(718) 479-3900
(718) 479-1014

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
043563
NY

Other

Enumeration date
11/05/2018
Last updated
11/05/2018
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