Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 038885 | NY |
NPI | 1033757752 |
---|---|
Provider Name | Rajesh Karasetty |
First Address | Hackensack, NJ 07601-1635 |
Second Address | Hackensack, NJ 07601-1635 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2019 |
Last Update Date | 12/12/2019 |