Provider Demographics
NPI:1215203732
Name:KAISHAP, DIVYA PURI (MS)
Entity Type:Individual
Prefix:MRS
First Name:DIVYA
Middle Name:PURI
Last Name:KAISHAP
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:247 W 87TH ST
Mailing Address - Street 2:#23G
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-2847
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:352 SEVENTH AVENUE, SUITE 305
Practice Address - Street 2:OPEN LINES SPEECH AND COMMUNICATION PLLC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-0004
Practice Address - Country:US
Practice Address - Phone:212-430-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist