Provider Demographics
NPI:1245807643
Name:CHANDY, BINO (RPH)
Entity type:Individual
Prefix:MR
First Name:BINO
Middle Name:
Last Name:CHANDY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8319 240TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-1307
Mailing Address - Country:US
Mailing Address - Phone:917-302-1046
Mailing Address - Fax:
Practice Address - Street 1:5721 ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-3430
Practice Address - Country:US
Practice Address - Phone:718-424-3286
Practice Address - Fax:718-899-3784
Is Sole Proprietor?:No
Enumeration Date:2021-06-05
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI04160700183500000X
NYI070737183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist