Provider Demographics
NPI:1366743189
Name:MOORJANI, NATASHA MAHESH
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:MAHESH
Last Name:MOORJANI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 GRAND COVE WAY
Mailing Address - Street 2:APT. 5B
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020-7214
Mailing Address - Country:US
Mailing Address - Phone:646-483-7573
Mailing Address - Fax:
Practice Address - Street 1:226 W 37TH ST
Practice Address - Street 2:SUITE 410
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-6605
Practice Address - Country:US
Practice Address - Phone:212-918-0999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018011235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist