Provider Demographics
NPI:1518162833
Name:RIZVI, FARZANA KHAWAR (PT)
Entity Type:Individual
Prefix:MS
First Name:FARZANA
Middle Name:KHAWAR
Last Name:RIZVI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:FARZANA
Other - Middle Name:KHAWAR
Other - Last Name:NAQVI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:88 WINDING WOOD DR
Mailing Address - Street 2:APT 5-A
Mailing Address - City:SAYREVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08872-2719
Mailing Address - Country:US
Mailing Address - Phone:732-390-7866
Mailing Address - Fax:718-818-1666
Practice Address - Street 1:355 BARD AVE
Practice Address - Street 2:RICHMOND UNIVERSITY MEDICAL CENTER
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10310-1664
Practice Address - Country:US
Practice Address - Phone:718-818-3163
Practice Address - Fax:718-818-1666
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014372-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist