Individual
KSHITIJ SHOHEL NOORANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
100 W KINGSBRIDGE RD, BRONX, NY 10468-3961
(718) 410-1500
Mailing address
52 NELSON AVE FL 2, JERSEY CITY, NJ 07307-4009
(682) 226-2905
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
12530-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588873681
HEALTHFIRST, OPTIMA, PDPM
NY
05
—
1588873681
—
NY
Enumeration date
03/11/2021
Last updated
03/11/2021
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