Provider Demographics
NPI:1518299155
Name:DHARSEE-DUNGERSI, NASREEN (PHARM D)
Entity Type:Individual
Prefix:
First Name:NASREEN
Middle Name:
Last Name:DHARSEE-DUNGERSI
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 I ST
Mailing Address - Street 2:
Mailing Address - City:ELMONT
Mailing Address - State:NY
Mailing Address - Zip Code:11003-3845
Mailing Address - Country:US
Mailing Address - Phone:516-712-7174
Mailing Address - Fax:
Practice Address - Street 1:27103 80TH AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1610
Practice Address - Country:US
Practice Address - Phone:718-470-1000
Practice Address - Fax:718-470-1020
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054109183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist