Provider Demographics
NPI:1710789417
Name:VAGHASIYA, ZALAK BHIKHUBHAI
Entity type:Individual
Prefix:
First Name:ZALAK
Middle Name:BHIKHUBHAI
Last Name:VAGHASIYA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 NELSON AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-4597
Mailing Address - Country:US
Mailing Address - Phone:945-264-3088
Mailing Address - Fax:
Practice Address - Street 1:548 HOWARD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11233-5016
Practice Address - Country:US
Practice Address - Phone:929-888-9681
Practice Address - Fax:888-959-6110
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053509225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist