Provider Demographics
NPI:1346555430
Name:MEHTA, NEHA VINAY (PT, MS)
Entity Type:Individual
Prefix:
First Name:NEHA
Middle Name:VINAY
Last Name:MEHTA
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Gender:F
Credentials:PT, MS
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Mailing Address - Street 1:16302 CROCHERON AVE
Mailing Address - Street 2:APT 1A
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-2048
Mailing Address - Country:US
Mailing Address - Phone:412-576-6906
Mailing Address - Fax:
Practice Address - Street 1:2901 216TH ST
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11360-2810
Practice Address - Country:US
Practice Address - Phone:718-281-8885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
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Provider Licenses
StateLicense IDTaxonomies
NY032037225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY032037OtherTHE UNIVERSITY OF THE STATE OF NEW YORK EDUCATION DEPARTMENT