Provider Demographics
NPI:1285882555
Name:VACHHER, BEVERLEY (PT)
Entity type:Individual
Prefix:MS
First Name:BEVERLEY
Middle Name:
Last Name:VACHHER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:BEVERLEY ROSE
Other - Middle Name:
Other - Last Name:SALVILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1725 YORK AVE
Mailing Address - Street 2:APT. 7G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-7807
Mailing Address - Country:US
Mailing Address - Phone:646-637-7987
Mailing Address - Fax:
Practice Address - Street 1:1725 YORK AVE
Practice Address - Street 2:APT 7G
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-7807
Practice Address - Country:US
Practice Address - Phone:646-637-7987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022684225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist