Individual
BIPINCHANDRA VAJESHANKER DAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 W 116TH ST, NEW YORK, NY 10026-2521
(212) 961-5741
(212) 865-3581
Mailing address
115 WEST 116TH STREET, NEW YORK, NY 10026
(212) 961-5741
(212) 865-3581
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29832
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29832
PHARMACIST
NY
Enumeration date
01/10/2007
Last updated
07/08/2007
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