Provider Demographics
NPI:1215106257
Name:BHATTY, MOHAMMAD JAWAID (BPHARM MS)
Entity type:Individual
Prefix:MR
First Name:MOHAMMAD
Middle Name:JAWAID
Last Name:BHATTY
Suffix:
Gender:M
Credentials:BPHARM MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 ELLINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1401
Mailing Address - Country:US
Mailing Address - Phone:845-354-0755
Mailing Address - Fax:
Practice Address - Street 1:32 S LIBERTY DR
Practice Address - Street 2:
Practice Address - City:STONY POINT
Practice Address - State:NY
Practice Address - Zip Code:10980-2325
Practice Address - Country:US
Practice Address - Phone:845-786-2504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031180183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist