Provider Demographics
NPI:1013359124
Name:GEIGER, JOSHUA (MSED)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:GEIGER
Suffix:
Gender:M
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14712 72ND RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-2564
Mailing Address - Country:US
Mailing Address - Phone:718-480-8337
Mailing Address - Fax:
Practice Address - Street 1:14712 72ND RD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11367-2564
Practice Address - Country:US
Practice Address - Phone:718-480-8337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-18
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY525286111174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist