Provider Demographics
NPI:1366797532
Name:CHARI, AISHWARYA (PT)
Entity type:Individual
Prefix:
First Name:AISHWARYA
Middle Name:
Last Name:CHARI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1328
Mailing Address - Country:US
Mailing Address - Phone:914-509-4640
Mailing Address - Fax:914-268-0103
Practice Address - Street 1:1034 N BROADWAY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1328
Practice Address - Country:US
Practice Address - Phone:914-509-4640
Practice Address - Fax:914-268-0103
Is Sole Proprietor?:No
Enumeration Date:2012-07-13
Last Update Date:2012-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034781225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY034781OtherLICENCE