Provider Demographics
NPI:1013962232
Name:PARIKH, KANU J (PHARMACIST)
Entity Type:Individual
Prefix:MR
First Name:KANU
Middle Name:J
Last Name:PARIKH
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 1:145 DUDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-4005
Mailing Address - Country:US
Mailing Address - Phone:718-720-4853
Mailing Address - Fax:718-622-4960
Practice Address - Street 1:231 DEKALB AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-4101
Practice Address - Country:US
Practice Address - Phone:718-638-4350
Practice Address - Fax:718-622-4960
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY029283-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist