Healthcare Provider Details

I. General information

NPI: 1346343639
Provider Name (Legal Business Name): BINAYA SHRESTHA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 09/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3410-3418 BROADWAY 2ND FLOOR
NEW YORK NY
10031
US

IV. Provider business mailing address

356 CENTRAL PARK AVE UNIT E-1
SCARSDALE NY
10583-1342
US

V. Phone/Fax

Practice location:
  • Phone: 212-283-2099
  • Fax: 212-234-2939
Mailing address:
  • Phone: 914-874-5074
  • Fax: 914-874-5074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number239631
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: