Provider Demographics
NPI:1538807029
Name:PARIKH, PRIYAL (DPT)
Entity type:Individual
Prefix:DR
First Name:PRIYAL
Middle Name:
Last Name:PARIKH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1644 STEWART AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1825
Mailing Address - Country:US
Mailing Address - Phone:516-469-9564
Mailing Address - Fax:
Practice Address - Street 1:1644 STEWART AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1825
Practice Address - Country:US
Practice Address - Phone:516-469-9564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2023-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048356225100000X
MA26127225100000X
CA304720225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist