Provider Demographics
NPI:1336496223
Name:BHARDWAJ, ANJALI
Entity type:Individual
Prefix:MISS
First Name:ANJALI
Middle Name:
Last Name:BHARDWAJ
Suffix:
Gender:
Credentials:
Other - Prefix:MISS
Other - First Name:ANJALI
Other - Middle Name:
Other - Last Name:BHARDWAJ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3310 QUEENS BLVD
Mailing Address - Street 2:301
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-2302
Mailing Address - Country:US
Mailing Address - Phone:718-593-4121
Mailing Address - Fax:
Practice Address - Street 1:3310 QUEENS BLVD
Practice Address - Street 2:301
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-2302
Practice Address - Country:US
Practice Address - Phone:718-593-4121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022266235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist