Provider Demographics
NPI:1487678983
Name:SHARMA, JOYTI
Entity Type:Individual
Prefix:DR
First Name:JOYTI
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:JOYTI
Other - Middle Name:
Other - Last Name:SHARMA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:13516 NORTHERN BLVD
Mailing Address - Street 2:SUITE 1A
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4007
Mailing Address - Country:US
Mailing Address - Phone:718-878-5845
Mailing Address - Fax:
Practice Address - Street 1:135-16 NORTHERN BLVD
Practice Address - Street 2:SUITE 1A
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4007
Practice Address - Country:US
Practice Address - Phone:718-878-5845
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2328532081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine