Organization Name: | SURESH JOSHI PHYSICIAN P.C. |
NPI Number: | 1861424269 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SURESH JOSHI (OWNER/PRESIDENT) |
Mailing Address: | 3601 Hempstead Tpke Suite 405 Levittown |
State: | NY US |
Postal Code: | 117561375 |
Phone Number: | 5165209800 |
Fax Number: | 5165209316 |
NPI Enumeration Date: | 07/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 140703 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |