Provider Demographics
NPI:1588988059
Name:AWHAD, DHANASHREE S (DPT)
Entity type:Individual
Prefix:MRS
First Name:DHANASHREE
Middle Name:S
Last Name:AWHAD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2904 BRUCKNER BLVD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-2101
Mailing Address - Country:US
Mailing Address - Phone:347-582-2534
Mailing Address - Fax:347-582-2359
Practice Address - Street 1:2904 BRUCKNER BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-2101
Practice Address - Country:US
Practice Address - Phone:347-582-2534
Practice Address - Fax:347-582-2359
Is Sole Proprietor?:No
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031517-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist