Provider Demographics
NPI:1598524530
Name:PARIKH, HARDIK SUNILKUMAR
Entity Type:Individual
Prefix:
First Name:HARDIK
Middle Name:SUNILKUMAR
Last Name:PARIKH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8411 QUEENS BLVD FL 1
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373-3098
Mailing Address - Country:US
Mailing Address - Phone:718-913-6181
Mailing Address - Fax:
Practice Address - Street 1:5506 AVENUE N
Practice Address - Street 2:BROOKLYN
Practice Address - City:NEWYORK
Practice Address - State:NY
Practice Address - Zip Code:11234
Practice Address - Country:US
Practice Address - Phone:718-913-6181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051778225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist