Individual
DR. ASHISH BASAVARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., D.P.T.
Contact information
Practice address
20809 UNION TPKE, OAKLAND GARDENS, NY 11364-3235
(718) 479-6370
Mailing address
21930 75TH AVE, 1ST FLOOR, OAKLAND GARDENS, NY 11364-3044
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
023750-1
NY
Other
Enumeration date
02/13/2007
Last updated
09/10/2009
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