Provider Demographics
NPI:1306022454
Name:MAHESHWARI, JESSICA SINGH (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:SINGH
Last Name:MAHESHWARI
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 YORK AVE
Mailing Address - Street 2:APT 6E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-7008
Mailing Address - Country:US
Mailing Address - Phone:646-371-7931
Mailing Address - Fax:
Practice Address - Street 1:1520 YORK AVE
Practice Address - Street 2:APT 6E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-7008
Practice Address - Country:US
Practice Address - Phone:646-371-7931
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-18
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028471225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist