Provider Demographics
NPI:1992844468
Name:KANOJIA, SAPANA MUKUND (MPT)
Entity Type:Individual
Prefix:MISS
First Name:SAPANA
Middle Name:MUKUND
Last Name:KANOJIA
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75A IOZIA TER
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-2966
Mailing Address - Country:US
Mailing Address - Phone:201-519-8075
Mailing Address - Fax:
Practice Address - Street 1:726 BROADWAY
Practice Address - Street 2:4TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-9502
Practice Address - Country:US
Practice Address - Phone:212-443-1080
Practice Address - Fax:212-443-1081
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00903300225100000X
NY0254112251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic