Provider Demographics
NPI:1568419067
Name:TORGOVNICK, JOSH (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSH
Middle Name:
Last Name:TORGOVNICK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 WASHINGTON SQ W
Mailing Address - Street 2:#3F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-9172
Mailing Address - Country:US
Mailing Address - Phone:212-995-2688
Mailing Address - Fax:212-473-4048
Practice Address - Street 1:31 WASHINGTON SQ W
Practice Address - Street 2:#3F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-9172
Practice Address - Country:US
Practice Address - Phone:212-995-2688
Practice Address - Fax:212-473-4048
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY141822174400000X, 2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01041776Medicaid
NY09D521Medicare ID - Type Unspecified
A99416Medicare UPIN
NY01041776Medicaid