Provider Demographics
NPI:1316753783
Name:NALEDI PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:NALEDI PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIVYA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAJARAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-267-0743
Mailing Address - Street 1:535 W 110TH ST APT 15C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-2065
Mailing Address - Country:US
Mailing Address - Phone:347-267-0743
Mailing Address - Fax:877-871-0666
Practice Address - Street 1:140 RIVERSIDE DR STE 1-O
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-2605
Practice Address - Country:US
Practice Address - Phone:347-267-0743
Practice Address - Fax:877-871-0666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-10
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy