Individual
APOORVA VISHWANATH BANGERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 NORTHERN BLVD STE 11, GREAT NECK, NY 11021-4802
(516) 829-0030
Mailing address
31 N MILLPAGE DR, BETHPAGE, NY 11714-4820
(617) 952-1921
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
047728
NY
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
01/22/2020
Last updated
08/24/2022
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