Individual
CHARMI DIVYANG PATEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
4265 KISSENA BLVD, FLUSHING, NY 11355-3273
(516) 754-4666
Mailing address
4265 KISSENA BLVD, FLUSHING, NY 11355-3273
(516) 754-4666
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P80728
NY
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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