Provider Demographics
NPI:1255515771
Name:SARAIYA, DIPAK SUNDERLAL
Entity type:Individual
Prefix:MR
First Name:DIPAK
Middle Name:SUNDERLAL
Last Name:SARAIYA
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 1:8 PICASSO CT
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-3040
Mailing Address - Country:US
Mailing Address - Phone:609-443-7509
Mailing Address - Fax:
Practice Address - Street 1:1290 AMSTERDAM AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-4225
Practice Address - Country:US
Practice Address - Phone:212-665-8966
Practice Address - Fax:212-665-8346
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041792183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist