Provider Demographics
NPI:1598917874
Name:DIABETES AND THYROID CENTER, PLLC
Entity Type:Organization
Organization Name:DIABETES AND THYROID CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BINAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHRESTHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-207-0004
Mailing Address - Street 1:970 N BROADWAY
Mailing Address - Street 2:SUITE 309
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-1309
Mailing Address - Country:US
Mailing Address - Phone:914-207-0004
Mailing Address - Fax:
Practice Address - Street 1:970 N BROADWAY
Practice Address - Street 2:SUITE 309
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-1309
Practice Address - Country:US
Practice Address - Phone:914-207-0004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-17
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY239631174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY239631-A26OtherHEALTHFIRST
NY116069OtherGHI HMO
NY0155407OtherGHI PPO
NY7940122OtherAETNA PPO
NY3X8991OtherEMPIRE BCBS
NYP3924602OtherOXFORD
NYH16904OtherUPIN
NY02093387Medicaid
NY1474000OtherAETNA HMP