MEDICARE: TERISHA REDDY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		NY

General Provider Information

NPI Number	:	1710822838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERISHA REDDY

Provider Business Mailing Address
First Line	:	23 BEECHWOOD TER
Second Line	:
City	:	YONKERS
State	:	NY
Zip	:	10705-1702
Country	:	US
Telephone Number	:	347-881-3407
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 SOUTH AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10303-1512
Country	:	US
Telephone Number	:	347-881-3407
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2026
Last Update Date	:	04/23/2026

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Directions to “ TERISHA REDDY ” Practice Location

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