Darisi, Pavan Kumar

Darisi, Pavan Kumar is an individual health care provider with primary practice located at 149 Wentworth Ave , Albertson NY 11507-1739. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Darisi, Pavan Kumar can be contacted via phone (718) 361-2084.

Contact Information

Primary practice address
149 Wentworth Ave Albertson NY 11507-1739
Phone: (718) 361-2084
Fax: (718) 729-3211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 042682-1 New York

Profile Details

NPI number 1497937650
LBN Legal business name Darisi, Pavan Kumar
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2007
Last updated Nov 29th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497937650 NPPES
New York Other 042682-1 LICENSE

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