Healthcare Provider Details

I. General information

NPI: 1629072186
Provider Name (Legal Business Name): BHARAT C JOSHI BDS, PROSTHODONTIST
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/11/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

454 BROADWAY
HASTINGS ON HUDSON NY
10706-2303
US

IV. Provider business mailing address

454 BROADWAY
HASTINGS ON HUDSON NY
10706-2303
US

V. Phone/Fax

Practice location:
  • Phone: 914-478-4009
  • Fax:
Mailing address:
  • Phone: 914-478-4009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number035473
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: