Provider Demographics
NPI:1366742082
Name:ZAVERI, KINNARY JAY (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:KINNARY
Middle Name:JAY
Last Name:ZAVERI
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:787 SUMMIT AVE
Mailing Address - Street 2:APT 11
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07307-3832
Mailing Address - Country:US
Mailing Address - Phone:201-253-8919
Mailing Address - Fax:
Practice Address - Street 1:1461 BATH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3818
Practice Address - Country:US
Practice Address - Phone:718-621-0777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031156225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist