Individual
KOMAL VADODARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
462 1ST AVE, NEW YORK, NY 10016-9196
(212) 562-4141
Mailing address
40 SNOWFLAKE RD, HUNTINGDON VALLEY, PA 19006-1518
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
025315-01
NY
363AM0700X
Medical Physician Assistant
Primary
MA066608
PA
Other
Enumeration date
07/28/2020
Last updated
07/15/2025
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