Ruchita Vikram Daftary, | |
29 Border Ln, Levittown, NY 11756-3001 | |
(662) 801-8145 | |
Not Available |
Full Name | Ruchita Vikram Daftary |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 29 Border Ln, Levittown, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770163792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 036645 (New York) | Primary |
Provider Name | Visiting Pt Ot Services Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1285232082 PECOS PAC ID: 1153721899 Enrollment ID: O20210616003229 |
Mailing Address | Practice Location Address |
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Ruchita Vikram Daftary, 29 Border Ln, Levittown, NY 11756-3001 Ph: () - | Ruchita Vikram Daftary, 29 Border Ln, Levittown, NY 11756-3001 Ph: (662) 801-8145 |
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