Provider Demographics
NPI:1619469319
Name:VAIDYA, FALGUNI KRUNAL (PT)
Entity Type:Individual
Prefix:
First Name:FALGUNI
Middle Name:KRUNAL
Last Name:VAIDYA
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 1:85 TICES LN APT 94
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-2171
Mailing Address - Country:US
Mailing Address - Phone:848-467-6966
Mailing Address - Fax:
Practice Address - Street 1:4348 48TH ST
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-1602
Practice Address - Country:US
Practice Address - Phone:718-554-7345
Practice Address - Fax:718-577-5379
Is Sole Proprietor?:No
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039824225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist