Provider Demographics
NPI:1669785978
Name:JOSHI, MANASI (PT)
Entity type:Individual
Prefix:MS
First Name:MANASI
Middle Name:
Last Name:JOSHI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:MANASI
Other - Middle Name:
Other - Last Name:PATIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:110 CHESTER ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-5643
Mailing Address - Country:US
Mailing Address - Phone:718-385-6200
Mailing Address - Fax:
Practice Address - Street 1:110 CHESTER ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-5643
Practice Address - Country:US
Practice Address - Phone:718-385-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031252174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist