Individual
MR. CHANDRAKANT L TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
48 LOWELL AVE, ISLIP TERRACE, NY 11752-1415
(631) 581-4285
(631) 581-4313
Mailing address
4 WINDING LN, ISLANDIA, NY 11749-6145
(631) 348-7578
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
35216
NY
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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