Provider Demographics
NPI:1255138491
Name:ALWE, CHINMAY MAHESH (PT)
Entity type:Individual
Prefix:
First Name:CHINMAY
Middle Name:MAHESH
Last Name:ALWE
Suffix:
Gender:
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 ROGERS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-2766
Mailing Address - Country:US
Mailing Address - Phone:682-266-1214
Mailing Address - Fax:
Practice Address - Street 1:1414 NEWKIRK AVE STE 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-6669
Practice Address - Country:US
Practice Address - Phone:718-434-4311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053976225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist