Individual
BIVASH ACHARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2995 OCEAN PKWY, BROOKLYN, NY 11235-8390
(646) 727-6004
Mailing address
2995 OCEAN PKWY, BROOKLYN, NY 11235-8390
(646) 727-6004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
049488
NY
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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