MEDICARE: DR. POOJA KANWAR PHARM.D

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	054018	NY

General Provider Information

NPI Number	:	1588996052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. POOJA KANWAR PHARM.D

Provider Business Mailing Address
First Line	:	34 CLOVER LANE
Second Line	:
City	:	LEVITTOWN
State	:	NY
Zip	:	11756-5642
Country	:	US
Telephone Number	:	917-957-6342
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 COLUMBUS CIRCLE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-5642
Country	:	US
Telephone Number	:	917-957-6342
Fax Number	:

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

Provider Enumeration Date	:	02/08/2010
Last Update Date	:	12/20/2022

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