Provider Demographics
NPI:1689988131
Name:DOSHI, KRUPA D (MSPT)
Entity Type:Individual
Prefix:
First Name:KRUPA
Middle Name:D
Last Name:DOSHI
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 HEDGEROW LN
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-7905
Mailing Address - Country:US
Mailing Address - Phone:646-207-7262
Mailing Address - Fax:646-514-4800
Practice Address - Street 1:3514 MERMAID AVE
Practice Address - Street 2:SUITE 003
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-1508
Practice Address - Country:US
Practice Address - Phone:718-996-1100
Practice Address - Fax:718-676-9511
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2014-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031898225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist