Nanda J Nevola Pt PC

NPI #1790798890 in Valley Cottage, New York

Provider Information

NPI Number: 1790798890
Entity Type: Organization
Organization Name: Nanda J Nevola Pt PC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 13, 2006
Last Updated: Aug 29, 2019

Practice Location

Address: 104 LAKE RD
City: Valley Cottage
State: New York
ZIP Code: 10989-2339
Phone: (845) 300-2847

Authorized Official

Name: MS. NANDA J NEVOLA, PT
Title: PRESIDENT
Phone: (453) 002-8478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
Physical Therapist	225100000X	Primary

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