Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 040970 | NY |
N | 2251E1200X | Ergonomics | 040970 | NY |
N | 225XE1200X | Ergonomics | 040970 | NY |
N | 2251E1300X | Electrophysiology, Clinical | 040970 | NY |
N | 2251G0304X | Physical Therapist - Geriatrics | 040970 | NY |
N | 2251H1200X | Hand | 040970 | NY |
N | 2251H1300X | Human Factors | 040970 | NY |
N | 225XH1300X | Human Factors | 040970 | NY |
N | 2251N0400X | Physical Therapist - Neurology | 040970 | NY |
N | 2251S0007X | Physical Therapist - Sports | 040970 | NY |
N | 2251X0800X | Physical Therapist - Orthopedic | 040970 | NY |
NPI | 1891269163 |
---|---|
Provider Name | Priyanka Khedekar |
First Address | Clifton, NJ 07012-2228 |
Second Address | Brooklyn, NY 11205-4809 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2019 |
Last Update Date | 19/01/2019 |