Provider Demographics
NPI:1265146302
Name:AUINGAN, RAHID LAGUNDI (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:RAHID
Middle Name:LAGUNDI
Last Name:AUINGAN
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 VAN NEST AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-1913
Mailing Address - Country:US
Mailing Address - Phone:917-754-6562
Mailing Address - Fax:
Practice Address - Street 1:1150 WEBSTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-5205
Practice Address - Country:US
Practice Address - Phone:917-754-6562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043320-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist