Provider Demographics
NPI:1225693005
Name:MULCHANDANI, NEHA (DPT)
Entity Type:Individual
Prefix:MS
First Name:NEHA
Middle Name:
Last Name:MULCHANDANI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MRS
Other - First Name:NEHA
Other - Middle Name:
Other - Last Name:MAKHIJANI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:456 LATHAM RD
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-1007
Mailing Address - Country:US
Mailing Address - Phone:718-360-7581
Mailing Address - Fax:
Practice Address - Street 1:3175 E TREMONT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-5700
Practice Address - Country:US
Practice Address - Phone:718-239-8239
Practice Address - Fax:718-504-9631
Is Sole Proprietor?:No
Enumeration Date:2019-05-07
Last Update Date:2019-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031208-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist