Provider Demographics
NPI:1912601949
Name:LOKHANDE, DHANASHREE AVINASH
Entity Type:Individual
Prefix:
First Name:DHANASHREE
Middle Name:AVINASH
Last Name:LOKHANDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 RIVER DR S APT 3203
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07310-3740
Mailing Address - Country:US
Mailing Address - Phone:650-276-8996
Mailing Address - Fax:
Practice Address - Street 1:MORNINGSIDE NURSING AND REHABILITATION CENTER
Practice Address - Street 2:1000 PELHAM PKWY S
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-409-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049561-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist