MEDICARE: DR. SATISH A JOSHI BDS

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	122300000X	Dentist	0034552	NY

General Provider Information

NPI Number	:	1720077886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SATISH A JOSHI BDS

Provider Business Mailing Address
First Line	:	PO BOX 828
Second Line	:
City	:	SYOSSET
State	:	NY
Zip	:	11791-0828
Country	:	US
Telephone Number	:	718-856-8124
Fax Number	:

Provider Business Practice Location Address
First Line	:	2139 BEVERLEY RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-5405
Country	:	US
Telephone Number	:	718-856-8124
Fax Number	:

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

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	07/08/2007

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