Provider Demographics
NPI:1710114053
Name:JOSHI, GYANI (DPT, MPT, PT)
Entity Type:Individual
Prefix:DR
First Name:GYANI
Middle Name:
Last Name:JOSHI
Suffix:
Gender:M
Credentials:DPT, MPT, PT
Other - Prefix:
Other - First Name:GHYANIKUMAR
Other - Middle Name:C
Other - Last Name:JOSHI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT, MPT, PT
Mailing Address - Street 1:13912 86TH RD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-3004
Mailing Address - Country:US
Mailing Address - Phone:917-362-9101
Mailing Address - Fax:
Practice Address - Street 1:13912 86TH RD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-3004
Practice Address - Country:US
Practice Address - Phone:917-362-9101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-13
Last Update Date:2009-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031073225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist