Aaba Moni
Individual provider Active NPI Physical Therapist · Scotchtown, NY
NPI 1801617550 · NPPES record last updated Oct 24, 2024
Key facts
- NPI
- 1801617550
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 050843 (NY)
- Practice address
- 643 Route 211 E
Scotchtown, NY 10941-1749 - Phone
- (585) 303-5859
- NPI assigned
- Oct 24, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050843 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 050843 | NY | Yes |
Addresses
Primary practice location
643 Route 211 E
Scotchtown, NY 10941-1749
Mailing address
8610 151St Ave Ste LK
Howard Beach, NY 11414-1320
Phone (585) 303-5859
Other providers in Scotchtown, NY
All providers in Scotchtown, NY · Physical Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.