Provider Demographics
NPI:1710294509
Name:AKRUWALA, ROOSHI (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:ROOSHI
Middle Name:
Last Name:AKRUWALA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 INDEPENDENCE WAY
Mailing Address - Street 2:
Mailing Address - City:MILLER PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11764-2338
Mailing Address - Country:US
Mailing Address - Phone:631-732-1223
Mailing Address - Fax:631-732-1224
Practice Address - Street 1:1224 MIDDLE COUNTRY RD
Practice Address - Street 2:
Practice Address - City:SELDEN
Practice Address - State:NY
Practice Address - Zip Code:11784-2524
Practice Address - Country:US
Practice Address - Phone:631-732-1223
Practice Address - Fax:631-732-1224
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054544183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist