MEDICARE: HIRAL VISNAGRA

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	052743	NY

General Provider Information

NPI Number	:	1437481157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HIRAL VISNAGRA

Provider Business Mailing Address
First Line	:	8124 265TH ST
Second Line	:
City	:	FLORAL PARK
State	:	NY
Zip	:	11004-1535
Country	:	US
Telephone Number	:	917-288-8829
Fax Number	:

Provider Business Practice Location Address
First Line	:	3506 BROADWAY
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11106-1114
Country	:	US
Telephone Number	:	718-204-5253
Fax Number	:

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

Provider Enumeration Date	:	02/05/2010
Last Update Date	:	02/05/2010

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Directions to “ HIRAL VISNAGRA ” Practice Location

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