Provider Demographics
NPI:1952539082
Name:BASHEER, RUBAB (PHARMD)
Entity Type:Individual
Prefix:
First Name:RUBAB
Middle Name:
Last Name:BASHEER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MRS
Other - First Name:RUBAB
Other - Middle Name:
Other - Last Name:BASHEER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:28 S CROTON AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-1908
Mailing Address - Country:US
Mailing Address - Phone:914-242-9458
Mailing Address - Fax:
Practice Address - Street 1:1024 BROADWAY
Practice Address - Street 2:
Practice Address - City:THORNWOOD
Practice Address - State:NY
Practice Address - Zip Code:10594-1133
Practice Address - Country:US
Practice Address - Phone:914-769-0929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY052039183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist