Individual
ADITYA MANOJKUMAR BAHETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
187 KENMORE AVE, BUFFALO, NY 14223-3017
(716) 936-5161
Mailing address
187 KENMORE AVE, BUFFALO, NY 14223-3017
(716) 936-5161
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
052654-01
NY
2251S0007X
Sports Physical Therapist
052654-01
NY
2251X0800X
Orthopedic Physical Therapist
Primary
052654-01
NY
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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