Organization
NEW ISLAND PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIDHIN MOHAN (PRESIDENT)
(631) 392-4800
Entity
Organization
Contact information
Practice address
1912 DEER PARK AVE STE A, DEER PARK, NY 11729-3332
(631) 392-4800
(631) 392-4801
Mailing address
1912 DEER PARK AVE STE A, DEER PARK, NY 11729-3332
(631) 392-4800
(631) 392-4801
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3524265
—
NY
Enumeration date
07/29/2025
Last updated
07/29/2025
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