Provider Demographics
NPI:1407491657
Name:BISNATH, AARON (PHARMD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:BISNATH
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 1:245 RUMSEY RD APT 7B
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-4547
Mailing Address - Country:US
Mailing Address - Phone:646-379-5462
Mailing Address - Fax:
Practice Address - Street 1:2200 BEDFORD ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-3905
Practice Address - Country:US
Practice Address - Phone:203-356-0109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-12
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0015051183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist