Provider Demographics
NPI:1962877829
Name:BHASIN, ALEJANDRA MARTINEZ (DPT)
Entity type:Individual
Prefix:DR
First Name:ALEJANDRA
Middle Name:MARTINEZ
Last Name:BHASIN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:27 W 20TH ST STE 306
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-3731
Mailing Address - Country:US
Mailing Address - Phone:929-359-3332
Mailing Address - Fax:718-684-6003
Practice Address - Street 1:2521 43RD AVE APT 802
Practice Address - Street 2:
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-4797
Practice Address - Country:US
Practice Address - Phone:917-432-4646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-03
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039753-1225100000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation