Apoorva Vishwanath Bangera
Physical Therapist in Great Neck, NY. Individual provider (NPI-1).
NPI number1972133759
StatusActive
Last updated in NPPESAug 24, 2022
Details
- NPI
- 1972133759
- Entity type
- Individual (NPI-1)
- Name
- Apoorva Vishwanath Bangera
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 22, 2020
- Certification date
- Aug 24, 2022
- Last updated
- Aug 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 047728 | NY | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
475 Northern Blvd Ste 11Great Neck, NY 11021-4802
Phone 516-829-0030
Mailing address
31 N Millpage DrBethpage, NY 11714-4820
Phone 617-952-1921
Other practice locations
31 N Millpage Dr
Bethpage, NY 11714-4820
Bethpage, NY 11714-4820
Phone 617-952-1921
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