Provider Demographics
NPI:1003221730
Name:SANGHAVI PHYSICAL THERAPY SERVICES
Entity Type:Organization
Organization Name:SANGHAVI PHYSICAL THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BHAVNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGHAVI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:516-931-0605
Mailing Address - Street 1:9 ALDEN AVE
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-6802
Mailing Address - Country:US
Mailing Address - Phone:516-931-0605
Mailing Address - Fax:
Practice Address - Street 1:9 ALDEN AVE
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-6802
Practice Address - Country:US
Practice Address - Phone:516-931-0605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-20
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY62 011381252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY007871OtherNYS ED OFFICE OF PROFESSIONS