MEDICARE: NASREEN DHARSEE-DUNGERSI 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	054109	NY

General Provider Information

NPI Number	:	1518299155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NASREEN DHARSEE-DUNGERSI PHARM D.

Provider Business Mailing Address
First Line	:	19 I ST
Second Line	:
City	:	ELMONT
State	:	NY
Zip	:	11003-3845
Country	:	US
Telephone Number	:	516-712-7174
Fax Number	:

Provider Business Practice Location Address
First Line	:	27103 80TH AVE
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-1610
Country	:	US
Telephone Number	:	718-470-1000
Fax Number	:	718-470-1020

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

Provider Enumeration Date	:	02/08/2010
Last Update Date	:	10/05/2010

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