Individual
MISS VAISHALI P KHANDARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
850 RATHBUN AVE, STATEN ISLAND, NY 10309-2326
(347) 210-2963
Mailing address
850 RATHBUN AVE, STATEN ISLAND, NY 10309-2326
(347) 210-2963
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
010190
NY
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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