Provider Demographics
NPI:1891533667
Name:CHAVDA, AASTHA UDAYANSINH (PT)
Entity type:Individual
Prefix:
First Name:AASTHA
Middle Name:UDAYANSINH
Last Name:CHAVDA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 SYLVIA LN
Mailing Address - Street 2:
Mailing Address - City:NORTH NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1950
Mailing Address - Country:US
Mailing Address - Phone:347-572-2997
Mailing Address - Fax:
Practice Address - Street 1:2098 ROCKAWAY PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-5802
Practice Address - Country:US
Practice Address - Phone:718-484-9393
Practice Address - Fax:718-484-9392
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052464225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist