Organization
LONG ISLAND PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELONA DAVIDOVA (OWNER)
(516) 218-2654
Entity
Organization
Contact information
Practice address
1163A BROADWAY, HEWLETT, NY 11557-2321
(516) 218-2654
(516) 218-2655
Mailing address
1163A BROADWAY, HEWLETT, NY 11557-2321
(516) 218-2654
(516) 218-2655
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040121
STATE BOARD
NY
Enumeration date
03/10/2023
Last updated
11/03/2025
About Stedi
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