Individual
VIDHI BANKIMBHAI SHASTRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
171 E 84TH ST FL 2, NEW YORK, NY 10028-2029
(212) 327-0600
Mailing address
30 SPRUCE ST FL 1, JERSEY CITY, NJ 07306-3521
(951) 269-6469
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
035471
NY
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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