Provider Demographics
NPI:1164677985
Name:DASH, MAURISHA F (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MAURISHA
Middle Name:F
Last Name:DASH
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 HAWTHORNE ST
Mailing Address - Street 2:SUITE 212
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-5958
Mailing Address - Country:US
Mailing Address - Phone:646-529-6570
Mailing Address - Fax:866-419-0061
Practice Address - Street 1:285 HAWTHORNE ST
Practice Address - Street 2:SUITE 212
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-5958
Practice Address - Country:US
Practice Address - Phone:646-529-6570
Practice Address - Fax:866-419-0061
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008493-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist