Provider Demographics
NPI:1003361916
Name:WASHINGTON, JOSHUA (AUD, F-AAA)
Entity Type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:
Last Name:WASHINGTON
Suffix:
Gender:M
Credentials:AUD, F-AAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 LEXINGTON AVE RM 315
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10170-0399
Mailing Address - Country:US
Mailing Address - Phone:212-867-6337
Mailing Address - Fax:212-867-6506
Practice Address - Street 1:420 LEXINGTON AVE RM 315
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10170-0399
Practice Address - Country:US
Practice Address - Phone:212-867-6337
Practice Address - Fax:212-867-6506
Is Sole Proprietor?:No
Enumeration Date:2016-08-20
Last Update Date:2016-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002669231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist