Provider Demographics
NPI:1972796142
Name:MORJARIA, SAMEER (PT)
Entity Type:Individual
Prefix:
First Name:SAMEER
Middle Name:
Last Name:MORJARIA
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 1:233 LENOX AVE
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-6498
Mailing Address - Country:US
Mailing Address - Phone:917-549-1038
Mailing Address - Fax:646-497-0938
Practice Address - Street 1:233 LENOX AVE
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-6498
Practice Address - Country:US
Practice Address - Phone:917-549-1038
Practice Address - Fax:646-497-0938
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-21
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019912-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ28F9ZVRT1Medicare PIN