Provider Demographics
NPI:1124326400
Name:THIYAGARAJAN, ARCOT KANDASWAMY (BS (PHARMACY))
Entity type:Individual
Prefix:MR
First Name:ARCOT
Middle Name:KANDASWAMY
Last Name:THIYAGARAJAN
Suffix:
Gender:M
Credentials:BS (PHARMACY)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ONE GUSTALV L. LEVY PLACE
Mailing Address - Street 2:THE MOUNT SINAI MEDICAL CENTER
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6574
Mailing Address - Country:US
Mailing Address - Phone:212-241-1989
Mailing Address - Fax:212-987-0198
Practice Address - Street 1:ONE GUSTAV L. LEVY PLACE
Practice Address - Street 2:THE MOUNT SINAI MEDICAL CENTER
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6574
Practice Address - Country:US
Practice Address - Phone:212-241-1989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY34299DT9-4-1981183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist