Provider Demographics
NPI:1346343639
Name:SHRESTHA, BINAYA (MD)
Entity Type:Individual
Prefix:
First Name:BINAYA
Middle Name:
Last Name:SHRESTHA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:356 CENTRAL PARK AVE
Mailing Address - Street 2:UNIT E-1
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1342
Mailing Address - Country:US
Mailing Address - Phone:914-874-5074
Mailing Address - Fax:914-874-5074
Practice Address - Street 1:3410-3418 BROADWAY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10031
Practice Address - Country:US
Practice Address - Phone:212-283-2099
Practice Address - Fax:212-234-2939
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY239631207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP2455057OtherOXFORD
NY2118458OtherUNITED HEALTHCARE
NY2622849798OtherEMPIRE PLAN
NY6011384OtherMVP HEALTHCARE
NYP00397015OtherRAILROAD MEDICARE
NY0155407OtherGHI PPO
NY116069OtherGHI HMO
NY239631-A26OtherHEALTHFIRST
NY3X8991OtherBC/BS
NY02093387Medicaid
NY1000041722OtherAFFINITY
NY262849798OtherMAGNACARE
NY7940122OtherAETNA PPO
NY410004POtherHIP
NY1474000OtherAETNA HMO
NY262849798OtherHUDSON HEALTH PLAN
NY7940122OtherAETNA PPO
NY852831Medicare ID - Type Unspecified