Provider Demographics
NPI:1376831453
Name:ASWANI, MONICA (DPT)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:
Last Name:ASWANI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 BROADWAY
Mailing Address - Street 2:SUITE 502
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-5601
Mailing Address - Country:US
Mailing Address - Phone:732-670-1050
Mailing Address - Fax:212-575-7741
Practice Address - Street 1:1501 BROADWAY
Practice Address - Street 2:SUITE 502
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-5601
Practice Address - Country:US
Practice Address - Phone:732-670-1050
Practice Address - Fax:212-575-7741
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033852225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist