Provider Demographics
NPI:1639295439
Name:VORA, HEMANT H
Entity Type:Individual
Prefix:
First Name:HEMANT
Middle Name:H
Last Name:VORA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 NORTH ROUT 303
Mailing Address - Street 2:UNIT 3
Mailing Address - City:CONGERS
Mailing Address - State:NY
Mailing Address - Zip Code:10920
Mailing Address - Country:US
Mailing Address - Phone:845-300-6860
Mailing Address - Fax:
Practice Address - Street 1:184 NORTH ROUT 303
Practice Address - Street 2:3
Practice Address - City:CONGERS
Practice Address - State:NY
Practice Address - Zip Code:10920
Practice Address - Country:US
Practice Address - Phone:845-300-6860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI03054000183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist