Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N004752 | NY |
NPI | 1174664577 |
---|---|
Provider Name | Jignasa P Joshi |
First Address | New York, NY 10027-4512 |
Second Address | New York, NY 10027-4512 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2007 |
Last Update Date | 25/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01204168 | (05) | NY |
U02450 | (02) | NY |