Individual
ANISHA SUNILKUMAR PANCHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9208 JAMAICA AVE, WOODHAVEN, NY 11421-2107
(347) 307-1509
Mailing address
8722 86TH ST, WOODHAVEN, NY 11421-1914
(551) 399-4090
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
047275
NY
Other
Enumeration date
06/22/2021
Last updated
06/23/2021
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