Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | J1-0003928 | DE |
Y | 2251S0007X | Physical Therapist - Sports | 044616 | NY |
NPI | 1467947416 |
---|---|
Provider Name | Amit Gohil |
First Address | New York, NY 10021-4828 |
Second Address | New York, NY 10021-4828 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2018 |
Last Update Date | 13/04/2021 |