Healthcare Provider Details

I. General information

NPI: 1477862316
Provider Name (Legal Business Name): ARPITA SAHA R.PH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2010
Last Update Date: 09/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

219 ESSEX ST
HACKENSACK NJ
07601-3215
US

IV. Provider business mailing address

79 GARRISON DR
SPRING VALLEY NY
10977-6053
US

V. Phone/Fax

Practice location:
  • Phone: 201-488-7224
  • Fax:
Mailing address:
  • Phone: 845-364-6488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number28RI03190700
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: