Provider Demographics
NPI:1356411029
Name:JOSHUA, ASHA PHILIP (DDS)
Entity type:Individual
Prefix:DR
First Name:ASHA
Middle Name:PHILIP
Last Name:JOSHUA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 MINEOLA BLVD
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-3918
Mailing Address - Country:US
Mailing Address - Phone:516-873-9511
Mailing Address - Fax:516-873-9522
Practice Address - Street 1:146 MINEOLA BLVD
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-3918
Practice Address - Country:US
Practice Address - Phone:516-873-9511
Practice Address - Fax:516-873-9522
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0474251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice