National Provider Identifier
Krishna Pesaladinne Vandana
Krishna Pesaladinne Vandana is listed in the NPPES registry with a primary specialty of Physical Therapist in Elmira, NY and a listed phone number of (607) 737-2001.
Profile Overview
- NPI
- 1417581422
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- February 28, 2020
- Last Updated
- February 28, 2020
Practice Location
- 103 Washington St
- Elmira, NY 14901-3220
Phone: (607) 737-2001
Mailing Address
- 15 Gloria Ave
- Edison, NJ 08820-2926
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1417581422
- Entity Type
- Individual
- Last Name
- Vandana
- First Name
- Krishna
- Middle Name
- Pesaladinne
- Name Prefix
- Mrs.
- Mailing Street Address
- 15 Gloria Ave
- Mailing City
- Edison
- Mailing State
- NJ
- Mailing ZIP Code
- 08820-2926
- Mailing Country
- US
- Mailing Phone
- (607) 375-7517
- Practice Street Address
- 103 Washington St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3220
- Practice Country
- US
- Practice Phone
- (607) 737-2001
- Enumeration Date
- February 28, 2020
- Last Updated
- February 28, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 28, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)