Provider Demographics
NPI:1962772079
Name:JOSHI, NEHA NARENDRA (PT)
Entity type:Individual
Prefix:
First Name:NEHA
Middle Name:NARENDRA
Last Name:JOSHI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 5TH AVE RM 506
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-7838
Mailing Address - Country:US
Mailing Address - Phone:212-921-7900
Mailing Address - Fax:212-921-7908
Practice Address - Street 1:501 5TH AVE RM 506
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-7838
Practice Address - Country:US
Practice Address - Phone:212-921-7900
Practice Address - Fax:212-921-7908
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034247225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400069182Medicare PIN
NYA400062871Medicare PIN
NYA400062878Medicare PIN