Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gholamreza Jahanara, DR, PHYSICALTHERAPY

Individual provider Physical Therapist · NPI 1164671947

Dr. Gholamreza Jahanara, DR, PHYSICALTHERAPY is a Physical Therapist in Bayside, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

1822 Corporal Kennedy St
Bayside, NY 11360-1447
Phone: (718) 224-5552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 019910 (NY)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1164671947
Entity typeIndividual (Type 1)
GenderMale
Credentials DR , PHYSICALTHERAPY
Sole proprietorYes
NPI enumeratedSeptember 16, 2008
Last updated in NPPESSeptember 16, 2008

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