Provider Demographics
NPI:1992029755
Name:TULSIANI, USHA (RPH)
Entity Type:Individual
Prefix:
First Name:USHA
Middle Name:
Last Name:TULSIANI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2318 31ST ST
Mailing Address - Street 2:OLYMPIA CHEMIST
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-2892
Mailing Address - Country:US
Mailing Address - Phone:718-267-2766
Mailing Address - Fax:718-267-2744
Practice Address - Street 1:2318 31ST ST
Practice Address - Street 2:OLYMPIA CHEMIST
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-2892
Practice Address - Country:US
Practice Address - Phone:718-267-2766
Practice Address - Fax:718-267-2744
Is Sole Proprietor?:No
Enumeration Date:2010-03-23
Last Update Date:2010-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043538183500000X
FLPS30894183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist