MEDICARE: NEHAL RAO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	060528	NY

General Provider Information

NPI Number	:	1497247738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEHAL RAO

Provider Business Mailing Address
First Line	:	16 IVY PL
Second Line	:
City	:	UPPER SADDLE RIVER
State	:	NJ
Zip	:	07458-1318
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	81 ROUTE 303
Second Line	:
City	:	TAPPAN
State	:	NY
Zip	:	10983-2807
Country	:	US
Telephone Number	:	845-792-3006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2018
Last Update Date	:	06/02/2018

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Directions to “ NEHAL RAO ” Practice Location

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