Organization
JANKI MODHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANKI MOHDA PT (PT)
(212) 421-6509
Entity
Organization
Contact information
Practice address
160 E 56TH ST, NEW YORK, NY 10022-3609
(212) 421-6509
Mailing address
160 E 56TH ST, NEW YORK, NY 10022-3609
(212) 421-6509
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036166-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036166-1
LICENSE
NY
Enumeration date
03/09/2017
Last updated
03/09/2017
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