Provider Demographics
NPI:1477885507
Name:CHAUHAN, MILAN C (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:MILAN
Middle Name:C
Last Name:CHAUHAN
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 TWIN ARCH RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTONVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10992-1035
Mailing Address - Country:US
Mailing Address - Phone:845-561-1771
Mailing Address - Fax:845-561-2442
Practice Address - Street 1:600 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-5157
Practice Address - Country:US
Practice Address - Phone:845-561-1771
Practice Address - Fax:845-562-2442
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0416591835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY041659OtherPHARMACIST