Provider Demographics
NPI:1578655007
Name:DORSKY, JOSHUA ISAAC (MD)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:ISAAC
Last Name:DORSKY
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 1:1430 SECOND AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:NY
Mailing Address - State:NY
Mailing Address - Zip Code:10021
Mailing Address - Country:US
Mailing Address - Phone:212-434-3361
Mailing Address - Fax:212-717-5691
Practice Address - Street 1:1430 SECOND AVE
Practice Address - Street 2:SUITE 103
Practice Address - City:NY
Practice Address - State:NY
Practice Address - Zip Code:10021
Practice Address - Country:US
Practice Address - Phone:212-434-3361
Practice Address - Fax:212-717-5691
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1719472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
67F401Medicare UPIN