Provider Demographics
NPI:1831156967
Name:NAVA, NADIA ALEXANDRA (DPT)
Entity type:Individual
Prefix:MRS
First Name:NADIA
Middle Name:ALEXANDRA
Last Name:NAVA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:NY
Mailing Address - Zip Code:14103
Mailing Address - Country:US
Mailing Address - Phone:585-798-4344
Mailing Address - Fax:585-798-0439
Practice Address - Street 1:711 PARK AVE
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:NY
Practice Address - Zip Code:14103
Practice Address - Country:US
Practice Address - Phone:585-798-4344
Practice Address - Fax:585-798-0439
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020602225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
00025669003OtherUNIVERA
000626651001OtherCOMMUNITY BLUE
P010020602OtherRIPA
00025669001OtherUNIVERA
7226391OtherAETNA
040511000244OtherFIDELIS
1034223FTOtherPREFERRED CARE
000626651004OtherCOMMUNITY BLUE
0206021OtherLICENSE
103423FTOtherPREFERRED CARE
205707500OtherACS DOL
9311388OtherINDEPENDENT HEALTH
205707500OtherACS DOL
103423FTOtherPREFERRED CARE