Provider Demographics
NPI:1437374790
Name:SATIJA, CHANDNI B (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CHANDNI
Middle Name:B
Last Name:SATIJA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 W 96TH ST
Mailing Address - Street 2:APARTMENT 2E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6323
Mailing Address - Country:US
Mailing Address - Phone:530-713-2009
Mailing Address - Fax:
Practice Address - Street 1:2069 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-2803
Practice Address - Country:US
Practice Address - Phone:212-799-1067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55112183500000X
NYI054447-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist