# NEW ISLAND PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831072669
- **Authorized official:** NIDHIN MOHAN (PRESIDENT)
- **Authorized official phone:** (631) 392-4800

## Contact information

- **Practice address:** 1912 DEER PARK AVE STE A, DEER PARK, NY 11729-3332
- **Practice address phone:** (631) 392-4800
- **Practice address fax:** (631) 392-4801
- **Mailing address:** 1912 DEER PARK AVE STE A, DEER PARK, NY 11729-3332
- **Mailing address phone:** (631) 392-4800
- **Mailing address fax:** (631) 392-4801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/29/2025
- **Last updated:** 07/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3524265 | — | NY |