Provider Demographics
NPI:1144500083
Name:MARKANA, KINJAL A (PT)
Entity type:Individual
Prefix:
First Name:KINJAL
Middle Name:A
Last Name:MARKANA
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 1:3070 31ST ST
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-2643
Mailing Address - Country:US
Mailing Address - Phone:718-626-2699
Mailing Address - Fax:718-626-0923
Practice Address - Street 1:1015 MADISON AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-0261
Practice Address - Country:US
Practice Address - Phone:212-439-9303
Practice Address - Fax:212-744-4481
Is Sole Proprietor?:No
Enumeration Date:2011-08-23
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032406225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist