Provider Demographics
NPI:1407606965
Name:KHADKA, ASBINA (PT)
Entity Type:Individual
Prefix:
First Name:ASBINA
Middle Name:
Last Name:KHADKA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11940 UNION TPKE APT 4B
Mailing Address - Street 2:
Mailing Address - City:KEW GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11415-1120
Mailing Address - Country:US
Mailing Address - Phone:510-641-0001
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:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051556225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist