| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RUCHI MODI | 1114569688 | 2021-04-10 |
Ruchi Modi is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1114569688. Registration indicates Ruchi Modi is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Ruchi Modi |
| Practice Office Address | 6805 FRESH POND RD RIDGEWOOD, NY US |
| Practice Office Telephone | 7184562545 |
| Practice Office Fax | 7185596784 |
| Mailing Address | 6805 FRESH POND RD RIDGEWOOD, NY 113855200 US |
| Business Telephone | 7184562545 |
| Business Fax | 7185596784 |
| Code | Practice | License No State |
|---|---|---|
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 044116
NY |