Shivangi Alok Chaughule, | |
409 Rockaway Ave, Brooklyn, NY 11212-5635 | |
(551) 998-6739 | |
Not Available |
Full Name | Shivangi Alok Chaughule |
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Gender | Female |
Speciality | Physical Therapist |
Location | 409 Rockaway Ave, Brooklyn, 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 |
---|---|---|---|
1922722602 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 049437 (New York) | Primary |
Provider Name | Fox Rehabilitation Physical Therapy Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1174560650 PECOS PAC ID: 1355395179 Enrollment ID: O20061023000060 |
Mailing Address | Practice Location Address |
---|---|
Shivangi Alok Chaughule, 2801 John F Kennedy Blvd Apt D15, Jersey City, NJ 07306-5448 Ph: (551) 998-6739 | Shivangi Alok Chaughule, 409 Rockaway Ave, Brooklyn, NY 11212-5635 Ph: (551) 998-6739 |
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