Organization
MICAELA INC .
Active
Other names
strand pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANASTASIA MASTROGIANNIS ESQ. (PRESIDENT)
(718) 721-3650
Entity
Organization
Contact information
Practice address
2501 BROADWAY, ASTORIA, NY 11106-3413
(718) 721-3650
(718) 721-1220
Mailing address
2501 BROADWAY, ASTORIA, NY 11106-3413
(718) 721-3650
(718) 721-1220
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
022656
NY
3336C0003X
Community/Retail Pharmacy
Primary
022656
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01611081
—
NY
Enumeration date
11/08/2006
Last updated
09/11/2025
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