Provider Demographics
NPI:1376822007
Name:TAYLOR, CHIRAG SATISH (PHARMD)
Entity Type:Individual
Prefix:
First Name:CHIRAG
Middle Name:SATISH
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:CHIRAG
Other - Middle Name:SATISH
Other - Last Name:BORAWALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:270 SAVOY AVE
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1609
Mailing Address - Country:US
Mailing Address - Phone:646-683-3048
Mailing Address - Fax:
Practice Address - Street 1:401 PARK AVE S
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8808
Practice Address - Country:US
Practice Address - Phone:212-216-9730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055934183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist