Provider Demographics
NPI:1033885868
Name:NANDI, SRIPRIYA
Entity Type:Individual
Prefix:
First Name:SRIPRIYA
Middle Name:
Last Name:NANDI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 VISTA RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-2519
Mailing Address - Country:US
Mailing Address - Phone:845-598-2276
Mailing Address - Fax:
Practice Address - Street 1:75 1ST ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07107-3101
Practice Address - Country:US
Practice Address - Phone:973-900-6990
Practice Address - Fax:973-900-6992
Is Sole Proprietor?:No
Enumeration Date:2021-08-20
Last Update Date:2021-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03269800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist