Provider Demographics
NPI:1427294073
Name:GEORGE, ROSHINI (RPH)
Entity type:Individual
Prefix:MRS
First Name:ROSHINI
Middle Name:
Last Name:GEORGE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:MRS
Other - First Name:ROSHINI
Other - Middle Name:
Other - Last Name:MADAPATT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RPH
Mailing Address - Street 1:2 BRYANT RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-1504
Mailing Address - Country:US
Mailing Address - Phone:914-969-5803
Mailing Address - Fax:914-969-5803
Practice Address - Street 1:15 COLONIAL PL
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-4709
Practice Address - Country:US
Practice Address - Phone:914-664-9250
Practice Address - Fax:914-664-6354
Is Sole Proprietor?:No
Enumeration Date:2009-01-05
Last Update Date:2009-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046033-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist