Provider Demographics
NPI:1831304450
Name:SATISHCHANDRAJOSHI DENTISTPC
Entity Type:Organization
Organization Name:SATISHCHANDRAJOSHI DENTISTPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SATISH
Authorized Official - Middle Name:A
Authorized Official - Last Name:JOSHI
Authorized Official - Suffix:
Authorized Official - Credentials:BDS
Authorized Official - Phone:718-856-8124
Mailing Address - Street 1:PO BOX 828
Mailing Address - Street 2:
Mailing Address - City:SYOSSET
Mailing Address - State:NY
Mailing Address - Zip Code:11791-0828
Mailing Address - Country:US
Mailing Address - Phone:718-856-8124
Mailing Address - Fax:
Practice Address - Street 1:2139 BEVERLEY RD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-5405
Practice Address - Country:US
Practice Address - Phone:718-856-8124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0345521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty