Provider Demographics
NPI:1699098715
Name:DESAI, SHEETAL (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:SHEETAL
Middle Name:
Last Name:DESAI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 BANK ST
Mailing Address - Street 2:APT 106A
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-1917
Mailing Address - Country:US
Mailing Address - Phone:518-258-6222
Mailing Address - Fax:
Practice Address - Street 1:15 BANK ST
Practice Address - Street 2:APT 106A
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10606-1917
Practice Address - Country:US
Practice Address - Phone:518-258-6222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053757183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist