Provider Demographics
NPI:1881818375
Name:SANGHAVI, BHAVNA D (PT)
Entity Type:Individual
Prefix:MRS
First Name:BHAVNA
Middle Name:D
Last Name:SANGHAVI
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 1:9 ALDEN AVE
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-6802
Mailing Address - Country:US
Mailing Address - Phone:516-931-0605
Mailing Address - Fax:
Practice Address - Street 1:9 ALDEN AVE
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-6802
Practice Address - Country:US
Practice Address - Phone:516-931-0605
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011381-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist