Provider Demographics
NPI:1164974697
Name:ROYCHOWDHURY, AYAN (PHARMD)
Entity Type:Individual
Prefix:
First Name:AYAN
Middle Name:
Last Name:ROYCHOWDHURY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1230 PENNSYLVANIA AVE.
Mailing Address - Street 2:APT. 10E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11239
Mailing Address - Country:US
Mailing Address - Phone:929-444-2176
Mailing Address - Fax:
Practice Address - Street 1:1484 FULTON ST
Practice Address - Street 2:RITE CHOICE PHARMACY
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11216
Practice Address - Country:US
Practice Address - Phone:718-773-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-01
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY062202183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist