Doctor Name: | MR. CHANDRAKANT L TRIVEDI |
NPI Number: | 1558408666 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHARMACIST |
License Number: | 35216 |
Business Practice Address: | 48 Lowell Ave Islip Terrace, NY - 117521415 |
Business Phone Number: | 6315814285 |
Business Fax Number: | 6315814313 |
Mailing Address: | 4 Winding Ln, ISLANDIA |
State: | NY |
Postal Code: | 117496145 |
Phone Number: | 6313487578 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1835N1003X |
License Number: | 35216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacist |
Taxonomy Specialization: | Nutrition Support |
Taxonomy Definition: | A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs. |