Individual
POORVI DESAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA OTR/L
Contact information
Practice address
325 5TH AVE, APT 24G, NEW YORK, NY 10016-5038
(516) 848-6839
Mailing address
325 FIFTH AVENUE, APT 24G, NEW YORK, NY 10016
(516) 848-6839
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
013295-1
NY
Other
Enumeration date
11/17/2008
Last updated
11/17/2008
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