Provider Demographics
NPI:1134490956
Name:JAVAID, ARSHAD
Entity Type:Individual
Prefix:
First Name:ARSHAD
Middle Name:
Last Name:JAVAID
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 27TH AVE
Mailing Address - Street 2:APT 2L
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-4805
Mailing Address - Country:US
Mailing Address - Phone:347-771-2075
Mailing Address - Fax:347-328-5616
Practice Address - Street 1:1332 COMMERCE AVE
Practice Address - Street 2:FRNT 3
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-3612
Practice Address - Country:US
Practice Address - Phone:347-293-4855
Practice Address - Fax:347-328-5616
Is Sole Proprietor?:No
Enumeration Date:2012-01-25
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY056572183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY056572OtherLICENCE NUMBER