Individual
ANUPAMA BEERAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 PARK AVE, HUNTINGTON, NY 11743-4543
(631) 271-5800
Mailing address
5 SOMERSET AVE, HICKSVILLE, NY 11801-5126
(540) 333-7803
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
012012-1
NY
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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