Provider Demographics
NPI:1295001725
Name:PAWAR, RADHIKA SINGHA (MS, OT)
Entity Type:Individual
Prefix:
First Name:RADHIKA
Middle Name:SINGHA
Last Name:PAWAR
Suffix:
Gender:F
Credentials:MS, OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8515 258TH ST
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-1029
Mailing Address - Country:US
Mailing Address - Phone:718-831-4043
Mailing Address - Fax:718-831-4040
Practice Address - Street 1:8515 258TH ST
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-1029
Practice Address - Country:US
Practice Address - Phone:718-831-4043
Practice Address - Fax:718-831-4040
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007936225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty