Provider Demographics
NPI:1366616013
Name:KOSHY-THOMAS, SHANTHIE ELIZABETH (RPA-C)
Entity type:Individual
Prefix:MRS
First Name:SHANTHIE
Middle Name:ELIZABETH
Last Name:KOSHY-THOMAS
Suffix:
Gender:F
Credentials:RPA-C
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Mailing Address - Street 1:1 VALLEY HEALTH PLZ
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-3628
Mailing Address - Country:US
Mailing Address - Phone:201-634-5346
Mailing Address - Fax:201-634-5481
Practice Address - Street 1:1 VALLEY HEALTH PLZ
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-3628
Practice Address - Country:US
Practice Address - Phone:201-634-5346
Practice Address - Fax:201-634-5481
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY012365235Z00000X
NY011809363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist