Provider Demographics
NPI:1225314784
Name:DASWANI, HEMA ARJANDAS (LAC)
Entity Type:Individual
Prefix:MS
First Name:HEMA
Middle Name:ARJANDAS
Last Name:DASWANI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 ROLLING RIDGE RD
Mailing Address - Street 2:SUITE 3D
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645-1553
Mailing Address - Country:US
Mailing Address - Phone:201-476-0597
Mailing Address - Fax:
Practice Address - Street 1:777 CHESTNUT RIDGE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CHESTNUT RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10977-6222
Practice Address - Country:US
Practice Address - Phone:201-476-0597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004683171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist