Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 041557-1 | NY |
NPI | 1649747445 |
---|---|
Provider Name | Sonali R Khangar |
First Address | Jersey City, NJ 07306-2102 |
Second Address | Long Island City, NY 11101-3010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2018 |
Last Update Date | 30/10/2018 |