Provider Demographics
NPI:1598068116
Name:DESAI, HILAM N (PT)
Entity Type:Individual
Prefix:
First Name:HILAM
Middle Name:N
Last Name:DESAI
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 ROBERT PITT DR STE 110
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-3372
Mailing Address - Country:US
Mailing Address - Phone:845-517-2652
Mailing Address - Fax:845-517-2654
Practice Address - Street 1:23 ROBERT PITT DR STE 110
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-3372
Practice Address - Country:US
Practice Address - Phone:845-517-2652
Practice Address - Fax:845-517-2654
Is Sole Proprietor?:No
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032789225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist