Provider Demographics
NPI:1508295650
Name:DOSHI, PRIYA (LCSW)
Entity Type:Individual
Prefix:
First Name:PRIYA
Middle Name:
Last Name:DOSHI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 RADCLIFFE CT
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-3003
Mailing Address - Country:US
Mailing Address - Phone:347-468-2825
Mailing Address - Fax:
Practice Address - Street 1:8225 COUNTRY POINTE CIR
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-3003
Practice Address - Country:US
Practice Address - Phone:347-468-2825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-08
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0880861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05967097Medicaid