Provider Demographics
NPI:1831496470
Name:SAINI, UDIKSHA (PT)
Entity Type:Individual
Prefix:
First Name:UDIKSHA
Middle Name:
Last Name:SAINI
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 1:10 VESCHI LN S
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-1521
Mailing Address - Country:US
Mailing Address - Phone:914-373-6520
Mailing Address - Fax:
Practice Address - Street 1:14310 20TH AVE
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357-3046
Practice Address - Country:US
Practice Address - Phone:718-961-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-17
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032732225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400045140Medicare PIN
NYG400042851Medicare PIN
NYA400045460Medicare PIN