Healthcare Provider Details

I. General information

NPI: 1275879371
Provider Name (Legal Business Name): HEMA DOSHI SLP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2012
Last Update Date: 12/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15018 MELBOURNE AVE SUITE # 2
FLUSHING NY
11367-1439
US

IV. Provider business mailing address

15018 MELBOURNE AVE SUITE # 2
FLUSHING NY
11367-1439
US

V. Phone/Fax

Practice location:
  • Phone: 718-793-7480
  • Fax:
Mailing address:
  • Phone: 718-793-7480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number07895
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number007895
License Number StateNY

VIII. Authorized Official

Name: HEMA DOSHI
Title or Position: PRESIDENT
Credential: M.S. CCC/SLP
Phone: 917-532-6290