Provider Demographics
NPI:1831373273
Name:AMIN, PIYUSH ISHVARBHAI (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PIYUSH
Middle Name:ISHVARBHAI
Last Name:AMIN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:PIYUSHKUMAR
Other - Middle Name:ISHVAR
Other - Last Name:AMIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:15 BLUE JAY WAY
Mailing Address - Street 2:
Mailing Address - City:REXFORD
Mailing Address - State:NY
Mailing Address - Zip Code:12148-1333
Mailing Address - Country:US
Mailing Address - Phone:518-421-1551
Mailing Address - Fax:
Practice Address - Street 1:1300 MASSACHUSETTS AVE
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-1628
Practice Address - Country:US
Practice Address - Phone:518-268-5507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-20
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20049683183500000X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No183500000XPharmacy Service ProvidersPharmacist