Provider Demographics
NPI:1326764440
Name:PATEL, RAJVI (PT)
Entity Type:Individual
Prefix:
First Name:RAJVI
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4344 KISSENA BLVD APT 4V
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3715
Mailing Address - Country:US
Mailing Address - Phone:352-284-3586
Mailing Address - Fax:
Practice Address - Street 1:4343 KISSENA BLVD STE 110
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2914
Practice Address - Country:US
Practice Address - Phone:718-661-1710
Practice Address - Fax:718-886-6414
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist