Provider Demographics
NPI:1619686490
Name:BHANDARI, HASAN KUMAR (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:HASAN KUMAR
Middle Name:
Last Name:BHANDARI
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 1:4332 KISSENA BLVD APT 16L
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-2993
Mailing Address - Country:US
Mailing Address - Phone:917-963-3364
Mailing Address - Fax:
Practice Address - Street 1:1500 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-7349
Practice Address - Country:US
Practice Address - Phone:212-289-3846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0698463336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy